Booth, Colleen

Booth, Colleen is an individual health care provider with primary practice located at 71 Haynes St , Manchester CT 06040-4131. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Booth, Colleen can be contacted via phone (860) 646-1222.

Contact Information

Primary practice address
71 Haynes St Manchester CT 06040-4131
Phone: (860) 646-1222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3964 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3964 Connecticut

Profile Details

NPI number 1972022135
LBN Legal business name Booth, Colleen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2017
Last updated Oct 17th, 2018 - about 6 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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