Brand, Woodrow Wilson
Brand, Woodrow Wilson is an individual health care provider with primary practice located at 806 Earl Frye Blvd , Amory MS 38821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brand, Woodrow Wilson can be contacted via phone (662) 256-8479.Contact Information
Primary practice address
806 Earl Frye Blvd
Amory MS 38821
Phone: (662) 256-8479
Fax: (662) 256-1177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 12093 | Mississippi |
Profile Details
| NPI number | 1053492645 |
|---|---|
| LBN Legal business name | Brand, Woodrow Wilson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Apr 1st, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053492645 | NPPES |
| Alabama | MEDICAID | 009306530 | |
| Alabama | MEDICAID | 0111887 |
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