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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649270190 NPPES
North Carolina MEDICAID 8988753

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