Booth, Michael Tyler

Booth, Michael Tyler is an individual health care provider with primary practice located at 784 Franklin Ave Ste 250 , Franklin Lakes NJ 07417-1306. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Booth, Michael Tyler can be contacted via phone (844) 777-0910.

Contact Information

Primary practice address
784 Franklin Ave Ste 250 Franklin Lakes NJ 07417-1306
Phone: (844) 777-0910
Fax: (201) 560-0712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00452000 New Jersey

Profile Details

NPI number 1811408313
LBN Legal business name Booth, Michael Tyler
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2017
Last updated Nov 2nd, 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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