Search › New Hampshire › 225X00000X
Jacob Booth
NPI 1326584871 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3000 Goffs Falls Rd
Suite 101
Manchester, NH 03111 - Phone
- (800) 995-2673
- Organisation at this address
- Premise Health Of Connecticut Medical, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 108
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
- Licence states on file
- CA, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Hampshire