Boothe, Shastri
Boothe, Shastri is an individual health care provider with primary practice located at 18161 W 13 Mile Rd Suite A-2, Southfield MI 48076-1113. 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, Shastri can be contacted via phone (248) 642-9893.Contact Information
Primary practice address
18161 W 13 Mile Rd Suite A-2
Southfield MI 48076-1113
Phone: (248) 642-9893
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601004456 | Michigan |
Profile Details
| NPI number | 1235177569 |
|---|---|
| LBN Legal business name | Boothe, Shastri |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jul 24th, 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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