Boothe, James

Boothe, James is an sole proprietor health care provider with primary practice located at 741 Winona Dr , Youngstown OH 44511-1401. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Boothe, James can be contacted via phone (330) 360-3437.

Contact Information

Primary practice address
741 Winona Dr Youngstown OH 44511-1401
Fax: (216) 341-0614
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1891106407
LBN Legal business name Boothe, James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2014
Last updated May 16th, 2014 - about 10 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 1891106407 NPPES
Ohio MEDICAID 0050204

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