Booth, Alicia Anne
Booth, Alicia Anne is an individual health care provider with primary practice located at 11141 Parkview Plaza Dr Ste 200 , Fort Wayne IN 46845-1714. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Booth, Alicia Anne can be contacted via phone (260) 425-6030.Contact Information
Primary practice address
11141 Parkview Plaza Dr Ste 200
Fort Wayne IN 46845-1714
Phone: (260) 425-6030
Fax: (260) 425-6028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 75000124A | Indiana |
Profile Details
| NPI number | 1780396275 |
|---|---|
| LBN Legal business name | Booth, Alicia Anne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2022 |
| Last updated | May 20th, 2024 - about last year |
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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