Booth, Melissa Ann

Booth, Melissa Ann is an sole proprietor health care provider with primary practice located at 326 Patton Ave , Wintersville OH 43953-3848. She recently has 6 registered licenses in different health care specialties including Other Service Providers / Driver, Agencies / Community/Behavioral Health, Agencies / Supports Brokerage, Agencies / In Home Supportive Care, Nursing Service Related Providers / Personal Care Attendant, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is her primary health care specialty. Booth, Melissa Ann can be contacted via phone (740) 317-7734.

Contact Information

Primary practice address
326 Patton Ave Wintersville OH 43953-3848
Phone: (740) 317-7734
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X RT055489 Ohio
Agencies / Community/Behavioral Health 251S00000X 4101475 Ohio
Agencies / Supports Brokerage 251X00000X DODD4101475 Ohio
Agencies / In Home Supportive Care 253Z00000X DODD4101475 Ohio
Nursing Service Related Providers / Personal Care Attendant 3747P1801X DODD4101475 Ohio
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X DODD4101475 Ohio
Agencies / Community/Behavioral Health 251S00000X DODD4101475 Ohio

Profile Details

NPI number 1316541402
LBN Legal business name Booth, Melissa Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2020
Last updated Oct 20th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316541402 NPPES
Ohio MEDICAID 0058808

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