Booth, Amy Lynn
Booth, Amy Lynn is an sole proprietor health care provider with primary practice located at 51505 Township Road 224 , Fresno OH 43824-9028. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Booth, Amy Lynn can be contacted via phone (740) 545-5288.Contact Information
Primary practice address
51505 Township Road 224
Fresno OH 43824-9028
Phone: (740) 545-5288
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | SD472594 | Ohio |
Profile Details
| NPI number | 1285648014 |
|---|---|
| LBN Legal business name | Booth, Amy Lynn |
| Credentials | DAILY LIVING AIDE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Apr 29th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285648014 | NPPES |
| Ohio | MEDICAID | 2589551 |
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