Booth, Paula Suzanne

Booth, Paula Suzanne is an sole proprietor health care provider with primary practice located at 8341 Hendrickson Rd Apt 2 , Middletown OH 45044-8933. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Booth, Paula Suzanne can be contacted via phone (937) 414-6397.

Contact Information

Primary practice address
8341 Hendrickson Rd Apt 2 Middletown OH 45044-8933
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN304034 Ohio

Profile Details

NPI number 1174666713
LBN Legal business name Booth, Paula Suzanne
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Jul 9th, 2007 - about 17 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 1174666713 NPPES
Ohio MEDICAID 2619750

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