Booth, Heidi S

Booth, Heidi S is an individual health care provider with primary practice located at 408 W 45Th St , Austin TX 78751-3014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Booth, Heidi S can be contacted via phone (512) 451-5800.

Contact Information

Primary practice address
408 W 45Th St Austin TX 78751-3014
Phone: (512) 451-5800
Fax: (512) 459-1399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 746718 Texas

Profile Details

NPI number 1144512070
LBN Legal business name Booth, Heidi S
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2011
Last updated Sep 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144512070 NPPES
Texas MEDICAID 297997302

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