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Contact Information

PAUL R BOOTHROYD JR, LPC
5100 EASTMAN AVE
SUITE 2
MIDLAND, MI48640
 Phone: 989-832-0191
 Fax: 989-486-9413
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for PAUL R BOOTHROYD JR · (Male)

NPI # 1538524244
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 12/22/2015
Last updated 01/31/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 6401013357
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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