Wood, Daniel W

Wood, Daniel W is an sole proprietor health care provider with primary practice located at 3867 Bayou Acres Dr , Bastrop LA 71220-9232. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wood, Daniel W can be contacted via phone (318) 283-2080.

Contact Information

Primary practice address
3867 Bayou Acres Dr Bastrop LA 71220-9232
Phone: (318) 283-2080
Fax: (318) 283-0606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT00809R Louisiana

Profile Details

NPI number 1609833847
LBN Legal business name Wood, Daniel W
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated Dec 21st, 2007 - about 18 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 1609833847 NPPES
Louisiana Other 0196531 DEPARTMENT OF LABOR
Louisiana Other CH5484 DEPARTMENT OF LABOR
Louisiana MEDICAID 1437158 DEPARTMENT OF LABOR

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