Wood, Garret William

Wood, Garret William is an sole proprietor health care provider with primary practice located at 5932 David St , Chubbuck ID 83202-2057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Wood, Garret William can be contacted via phone (208) 850-6597.

Contact Information

Primary practice address
5932 David St Chubbuck ID 83202-2057
Phone: (208) 850-6597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X AT-583 Idaho

Profile Details

NPI number 1437703634
LBN Legal business name Wood, Garret William
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2019
Last updated Jul 26th, 2019 - about 5 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 1437703634 NPPES
Other NA NA

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