Wood, Gregory Douglas
Wood, Gregory Douglas is an sole proprietor health care provider with primary practice located at 4505 E Mccain Blvd , North Little Rock AR 72117-2902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wood, Gregory Douglas can be contacted via phone (501) 955-9585.Contact Information
Primary practice address
4505 E Mccain Blvd
North Little Rock AR 72117-2902
Phone: (501) 955-9585
Fax: (501) 955-9394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | E2280 | Arkansas |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD480173 | Pennsylvania |
Profile Details
| NPI number | 1225040645 |
|---|---|
| LBN Legal business name | Wood, Gregory Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Feb 19th, 2024 - about last year |
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 | 1225040645 | NPPES |
| Arkansas | MEDICAID | 139013001 |
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