Booth, Tracy Marie

Booth, Tracy Marie is an individual health care provider with primary practice located at 1550 Giddings Ave Se , Grand Rapids MI 49507-2223. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Booth, Tracy Marie can be contacted via phone (616) 574-7617.

Contact Information

Primary practice address
1550 Giddings Ave Se Grand Rapids MI 49507-2223
Phone: (616) 574-7617
Fax: (616) 574-7617
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 723477 Michigan
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 723477 Michigan

Profile Details

NPI number 1124094321
LBN Legal business name Booth, Tracy Marie
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jul 8th, 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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