Booth, Rachael B

Booth, Rachael B is an individual health care provider with primary practice located at 2825 Hunters Trl , Portage WI 53901-3429. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Booth, Rachael B can be contacted via phone (608) 742-7161.

Contact Information

Primary practice address
2825 Hunters Trl Portage WI 53901-3429
Phone: (608) 742-7161
Fax: (608) 745-3990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7337-33 Wisconsin

Profile Details

NPI number 1942743281
LBN Legal business name Booth, Rachael B
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2016
Last updated Nov 3rd, 2020 - about 5 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 1942743281 NPPES
Wisconsin MEDICAID 1942743281

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