Booth, Jerad Roland
Booth, Jerad Roland is an sole proprietor health care provider with primary practice located at 2007 E 14 Mile Rd , Sterling Heights MI 48310-5905. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Booth, Jerad Roland can be contacted via phone (586) 244-9699.Contact Information
Primary practice address
2007 E 14 Mile Rd
Sterling Heights MI 48310-5905
Phone: (586) 244-9699
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 5901400501 | Michigan |
Profile Details
| NPI number | 1316562515 |
|---|---|
| LBN Legal business name | Booth, Jerad Roland |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2020 |
| Last updated | May 23rd, 2023 - about 3 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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