Booth, Rachel L

Booth, Rachel L is an individual health care provider with primary practice located at 81 Meriden Ave , Southington CT 06489-3268. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Booth, Rachel L can be contacted via phone (860) 378-1400.

Contact Information

Primary practice address
81 Meriden Ave Southington CT 06489-3268
Phone: (860) 378-1400
Fax: (860) 378-1419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 003452 Connecticut

Profile Details

NPI number 1285643965
LBN Legal business name Booth, Rachel L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Nov 7th, 2011 - about 14 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 1285643965 NPPES
Connecticut MEDICAID 004264561

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