Provider Demographics
NPI:1962018879
Name:BOOKER, MAGARET ANN
Entity Type:Individual
Prefix:
First Name:MAGARET
Middle Name:ANN
Last Name:BOOKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 GANS HILL SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:15478-1327
Mailing Address - Country:US
Mailing Address - Phone:570-951-9687
Mailing Address - Fax:
Practice Address - Street 1:229 GANS HILL SCHOOL RD
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:PA
Practice Address - Zip Code:15478-1327
Practice Address - Country:US
Practice Address - Phone:570-951-9687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator