Boop, Michele Susan

Boop, Michele Susan is an sole proprietor health care provider with primary practice located at 2813 Industrial Park Rd Ste C , Mifflintown PA 17059-9078. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Boop, Michele Susan can be contacted via phone (717) 436-8283.

Contact Information

Primary practice address
2813 Industrial Park Rd Ste C Mifflintown PA 17059-9078
Phone: (717) 436-8283
Fax: (717) 436-8351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA002251 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA051693 Pennsylvania

Profile Details

NPI number 1578518163
LBN Legal business name Boop, Michele Susan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Apr 13th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578518163 NPPES
Pennsylvania MEDICAID 1031813050002

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