Wood, Christina Gough

Wood, Christina Gough is an individual health care provider with primary practice located at 23050 West Rd # Mi48183 Ste 210, Brownstown Twp MI 48183-1472. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wood, Christina Gough can be contacted via phone (734) 362-7000.

Contact Information

Primary practice address
23050 West Rd # Mi48183 Ste 210 Brownstown Twp MI 48183-1472
Phone: (734) 362-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5101019862 Michigan

Profile Details

NPI number 1508131962
LBN Legal business name Wood, Christina Gough
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2012
Last updated Feb 22nd, 2017 - about 7 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 1508131962 NPPES
Michigan Other 0H24657 BLUE CROSS
Michigan Other 1457586646 BLUE CROSS

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