Dr FRED D BOOTHBY NP is a male medical professional, specializing in Nurse Practitioner. He graduated in 1994.
ALLEGAN COUNTY COMMUNITY MENTAL HEALTH SERVICES
PO BOX
SUITE 130
ALLEGAN
MI
490100130
Tel: 2696736617
| Npi | 1962483271 |
| Pac Id | 4587602156 |
| Professional Enrollment Id | I20050422001137 |
| Last Name | BOOTHBY |
| First Name | FRED |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | NP |
| Medical School Name | OTHER |
| Graduation Year | 1994 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ALLEGAN COUNTY COMMUNITY MENTAL HEALTH SERVICES |
| Group Practice Pac Id | 1153317607 |
| Number Of Group Practice Members | 9 |
| Line 1 Street Address | PO BOX |
| Line 2 Street Address | SUITE 130 |
| Marker Of Address Line 2 Suppression | |
| City | ALLEGAN |
| State | MI |
| Zip Code | 490100130 |
| Phone Number | 2696736617 |
| Hospital Affiliation Ccn 1 | 231328 |
| Hospital Affiliation Lbn 1 | ALLEGAN GENERAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 230038 |
| Hospital Affiliation Lbn 2 | SPECTRUM HEALTH-BUTTERWORTH CAMPUS |
| Hospital Affiliation Ccn 3 | 230017 |
| Hospital Affiliation Lbn 3 | BRONSON METHODIST HOSPITAL |
| Hospital Affiliation Ccn 4 | 230236 |
| Hospital Affiliation Lbn 4 | METRO HEALTH HOSPITAL |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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