Wood, Caleb

Wood, Caleb is an individual health care provider with primary practice located at 375 Apple Tree Dr , Ionia MI 48846-7506. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Wood, Caleb can be contacted via phone (616) 527-1790.

Contact Information

Primary practice address
375 Apple Tree Dr Ionia MI 48846-7506
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1033844287
LBN Legal business name Wood, Caleb
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2022
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033844287 NPPES
Michigan MEDICAID 1715928

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