Booth, Roger Mark
Booth, Roger Mark is an sole proprietor health care provider with primary practice located at 1540 Spring Valley Dr , Huntington WV 25704-9501. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Booth, Roger Mark can be contacted via phone (304) 654-4035.Contact Information
Primary practice address
1540 Spring Valley Dr
Huntington WV 25704-9501
Phone: (304) 654-4035
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 105246 | West Virginia |
Profile Details
| NPI number | 1275150047 |
|---|---|
| LBN Legal business name | Booth, Roger Mark |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2020 |
| Last updated | Jun 28th, 2020 - about 5 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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