Bookert, Ritha G
Bookert, Ritha G is an individual health care provider with primary practice located at 100 Vine Drive , Brandon MS 39047-9113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bookert, Ritha G can be contacted via phone (601) 829-3940.Contact Information
Primary practice address
100 Vine Drive
Brandon MS 39047-9113
Phone: (601) 829-3940
Fax: (601) 829-3941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R851704 | Mississippi |
Profile Details
| NPI number | 1558559823 |
|---|---|
| LBN Legal business name | Bookert, Ritha G |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2007 |
| Last updated | Apr 25th, 2019 - about 7 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 | 1558559823 | NPPES |
| Mississippi | MEDICAID | 01786739 |
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