Wood, Henry Edward

Wood, Henry Edward is an individual health care provider with primary practice located at 745 Olive St Ste 200, Shreveport LA 71104-2246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wood, Henry Edward can be contacted via phone (318) 226-0809.

Contact Information

Primary practice address
745 Olive St Ste 200 Shreveport LA 71104-2246
Fax: (318) 226-0812
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 15619 Louisiana
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 9905 Mississippi

Profile Details

NPI number 1447242680
LBN Legal business name Wood, Henry Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
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 1447242680 NPPES
Louisiana MEDICAID 1949442

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