Five J Woodall Medical Director

LBN: Five J Woodall Medical Director
Five J Woodall Medical Director is an health care organization with primary practice located at 299 E 360 N , Anderson IN 46012-9659. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Five J Woodall Medical Director can be contacted via phone (765) 642-8446, or through Woodall, John W via phone (765) 642-8446.

Contact Information

Primary practice address
299 E 360 N Anderson IN 46012-9659
Phone: (765) 642-8446
Fax: (765) 642-7934
Website:
Map and Directions
Authorized official contact:
Name: Woodall, John W Doctor of Medicine (MD)
Phone: (765) 642-8446

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01022907A Indiana

Profile Details

NPI number 1013034628
LBN Legal business name Five J Woodall Medical Director
DBA Doing business as
Authorized official Woodall, John W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Jun 21st, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013034628 NPPES
Indiana MEDICAID 100171870A

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