Wood, George Albert

Wood, George Albert is an sole proprietor health care provider with primary practice located at 580 Lincoln St , Worcester MA 01605-1916. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Wood, George Albert can be contacted via phone (508) 853-2790.

Contact Information

Primary practice address
580 Lincoln St Worcester MA 01605-1916
Phone: (508) 853-2790
Fax: (508) 853-2791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 808 Massachusetts

Profile Details

NPI number 1225170665
LBN Legal business name Wood, George Albert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 17 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 1225170665 NPPES
Massachusetts MEDICAID 1603400
Massachusetts Other 35213
Massachusetts Other 715391
Massachusetts Other 042894453 0003
Massachusetts Other Y35555
Massachusetts Other 042894453

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