Wood, Ian A

Wood, Ian A is an individual health care provider with primary practice located at 1 Dent Dr , Lewisburg PA 17837-2005. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Wood, Ian A can be contacted via phone (570) 577-1056.

Contact Information

Primary practice address
1 Dent Dr Lewisburg PA 17837-2005
Fax:
Website:

Profile Details

NPI number 1811927254
LBN Legal business name Wood, Ian A
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Aug 13th, 2017 - about 7 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 1811927254 NPPES
Other 069402484 BOARD OF CERTIFICATION FOR ATHLETIC TRAINING
Other RT001549A BOARD OF CERTIFICATION FOR ATHLETIC TRAINING

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