Boots, Tricia Marie
Boots, Tricia Marie is an individual health care provider with primary practice located at 2001 Ehrman Rd Suite 100, Cranberry Twp PA 16066-2271. 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. Boots, Tricia Marie can be contacted via phone (724) 473-0660.Contact Information
Primary practice address
2001 Ehrman Rd Suite 100
Cranberry Twp PA 16066-2271
Phone: (724) 473-0660
Fax: (714) 473-0665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA002714L | Pennsylvania |
Profile Details
| NPI number | 1891919098 |
|---|---|
| LBN Legal business name | Boots, Tricia Marie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Feb 12th, 2021 - about 3 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 | 1891919098 | NPPES |
| Pennsylvania | MEDICAID | 1034774070001 |
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