Booth, Roger Mark

Booth, Roger Mark is an sole proprietor health care provider with primary practice located at 1540 Spring Valley Dr , Huntington WV 25704-9501. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Booth, Roger Mark can be contacted via phone (304) 654-4035.

Contact Information

Primary practice address
1540 Spring Valley Dr Huntington WV 25704-9501
Phone: (304) 654-4035
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 105246 West Virginia

Profile Details

NPI number 1275150047
LBN Legal business name Booth, Roger Mark
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2020
Last updated Jun 28th, 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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