Booze, Loraine Elizabeth

Booze, Loraine Elizabeth is an individual health care provider with primary practice located at 2295 Henry Tecklenburg Dr , Charleston SC 29414-7801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Booze, Loraine Elizabeth can be contacted via phone (843) 766-7103.

Contact Information

Primary practice address
2295 Henry Tecklenburg Dr Charleston SC 29414-7801
Phone: (843) 766-7103
Fax: (843) 763-3834
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1620 South Carolina

Profile Details

NPI number 1760780803
LBN Legal business name Booze, Loraine Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2011
Last updated Dec 5th, 2013 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760780803 NPPES
South Carolina Other 1620 SOUTH CAROLINA PHYSICIAN ASSISTANT LICENSURE

Popular Providers