Booth, Alyson M

Booth, Alyson M is an individual health care provider with primary practice located at 1105 Sixth St , Traverse City MI 49684-2345. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Booth, Alyson M can be contacted via phone (231) 935-6100.

Contact Information

Primary practice address
1105 Sixth St Traverse City MI 49684-2345
Phone: (231) 935-6100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 4301077497 Michigan
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301077497 Michigan

Profile Details

NPI number 1013903848
LBN Legal business name Booth, Alyson M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Sep 18th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013903848 NPPES
Michigan MEDICAID 4485429
Michigan MEDICAID 4485410

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