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
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437703634 | NPPES |
| Other | NA | NA |
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