Booth, Marissa

Booth, Marissa is an individual health care provider with primary practice located at 200 River Terrace Drive 802, Benton Harbor MI 49022. She recently has only one registered license in Nursing Service Related Providers / Chore Provider, which is considered as her primary health care specialty. Booth, Marissa can be contacted via phone (269) 369-2164.

Contact Information

Primary practice address
200 River Terrace Drive 802 Benton Harbor MI 49022
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X

Profile Details

NPI number 1639929896
LBN Legal business name Booth, Marissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2024
Last updated Mar 22nd, 2024 - 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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