Booth, Martha Jane

Booth, Martha Jane is an individual health care provider with primary practice located at 1200 East Broad Street West Hosptial, 15Th Floor, West Wing, Richmond VA 23298-0645. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Booth, Martha Jane can be contacted via phone (804) 628-3215.

Contact Information

Primary practice address
1200 East Broad Street West Hosptial, 15Th Floor, West Wing Richmond VA 23298-0645
Phone: (804) 628-3215
Fax: (804) 827-1016
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0024172911 Virginia

Profile Details

NPI number 1598134298
LBN Legal business name Booth, Martha Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2015
Last updated Sep 23rd, 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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