Booth, Edward Jackson

Booth, Edward Jackson is an sole proprietor health care provider with primary practice located at 10 General Greene Avenue Building 42, Natick MA 01760-5007. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Booth, Edward Jackson can be contacted via phone (210) 618-5330.

Contact Information

Primary practice address
10 General Greene Avenue Building 42 Natick MA 01760-5007
Phone: (210) 618-5330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1487813317
LBN Legal business name Booth, Edward Jackson
Credentials PHD, APA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2008
Last updated Oct 16th, 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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