Wodecki, Bob
Wodecki, Bob is an individual health care provider with primary practice located at 293 Old Mocksville Road , Statesville NC 28625-1903. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Wodecki, Bob can be contacted via phone (704) 872-8711.Contact Information
Primary practice address
293 Old Mocksville Road
Statesville NC 28625-1903
Phone: (704) 872-8711
Fax: (704) 872-5866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36856 | North Carolina |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 36856 | North Carolina |
Profile Details
| NPI number | 1649270190 |
|---|---|
| LBN Legal business name | Wodecki, Bob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Jan 8th, 2024 - about 11 months 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 | 1649270190 | NPPES |
| North Carolina | MEDICAID | 8988753 |
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