Booher, John W
Booher, John W is an individual health care provider with primary practice located at 1100 Ne 45Th St Suite 102, Oakland Park FL 33334-3814. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Booher, John W can be contacted via phone (954) 629-0250.Contact Information
Primary practice address
1100 Ne 45Th St Suite 102
Oakland Park FL 33334-3814
Phone: (954) 629-0250
Fax: (866) 240-3482
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9102244 | Florida |
Profile Details
| NPI number | 1588627913 |
|---|---|
| LBN Legal business name | Booher, John W |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Jun 2nd, 2015 - 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 | 1588627913 | NPPES |
| Florida | Other | Y04T2 | BC BS FL |
| Florida | MEDICAID | 291430100 | BC BS FL |
Popular Providers
-
Ambriano, Nancyann
5597 N Dixie Hwy , Oakland Park FL 33334-3406 -
Vales-Preval, Marie Yves
2901 W Oakland Park Blvd Suite A4, Oakland Park FL 33311-1243 -
Morris, Cassie
1912 Nw 38Th St , Oakland Park FL 33309-4412 -
Lam, May Yan
1400 E Oakland Park Blvd Ste 210, Oakland Park FL 33334-4400 -
Alnajar, Sarmed
4704 Ne 17Th Ave , Oakland Park FL 33334-5610 -
Gentile, Nicole Elyse
4331 N Federal Hwy Ste 400 , Oakland Park FL 33308-5252 -
Tuthill, Addy Mauro
3201 N Federal Hwy Suite 305, Oakland Park FL 33306-1060 -
Kasuba, Daniel M
1421 E Oakland Park Blvd Ste 200 , Oakland Park FL 33334-4434