Boothe, Michelle Collins
Boothe, Michelle Collins is an individual health care provider with primary practice located at 803 Meyers Baker Rd Suite 200, London KY 40741-3039. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Boothe, Michelle Collins can be contacted via phone (606) 878-4300.Contact Information
Primary practice address
803 Meyers Baker Rd Suite 200
London KY 40741-3039
Phone: (606) 878-4300
Fax: (606) 878-4308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1581 | Kentucky |
Profile Details
| NPI number | 1457660102 |
|---|---|
| LBN Legal business name | Boothe, Michelle Collins |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2010 |
| Last updated | Feb 5th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457660102 | NPPES |
| Kentucky | MEDICAID | 7100025690 |
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