Booth, Judith A.

Booth, Judith A. is an individual health care provider with primary practice located at One Elliot Way Neonatology Services - Elliot Hospital, Manchester NH 03103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Booth, Judith A. can be contacted via phone (603) 663-2692.

Contact Information

Primary practice address
One Elliot Way Neonatology Services - Elliot Hospital Manchester NH 03103
Phone: (603) 663-2692
Fax: (602) 663-3982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 034647-23-10 New Hampshire

Profile Details

NPI number 1932169158
LBN Legal business name Booth, Judith A.
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932169158 NPPES
New Hampshire MEDICAID 30341253

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