Booth, Bryan Dennis

Booth, Bryan Dennis is an individual health care provider with primary practice located at 3400 Spruce St 6 Silver, Philadelphia PA 19104-4238. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Booth, Bryan Dennis can be contacted via phone (215) 615-4949.

Contact Information

Primary practice address
3400 Spruce St 6 Silver Philadelphia PA 19104-4238
Phone: (215) 615-4949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA001415L Pennsylvania

Profile Details

NPI number 1548235179
LBN Legal business name Booth, Bryan Dennis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jun 12th, 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.

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