Wood, Jacob Myles
Wood, Jacob Myles is an individual health care provider with primary practice located at 8595 Picardy Ave Ste 100 , Baton Rouge LA 70809-3674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wood, Jacob Myles can be contacted via phone (225) 763-4900.Contact Information
Primary practice address
8595 Picardy Ave Ste 100
Baton Rouge LA 70809-3674
Phone: (225) 763-4900
Fax: (225) 763-4066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 00024312 | Alabama |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 202160 | Louisiana |
Profile Details
| NPI number | 1700858255 |
|---|---|
| LBN Legal business name | Wood, Jacob Myles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Dec 13th, 2018 - about 6 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 | 1700858255 | NPPES |
| Other | P00141370 | RAIL ROAD MEDICARE | |
| MEDICAID | 051522945 | RAIL ROAD MEDICARE | |
| Other | H51432 | RAIL ROAD MEDICARE | |
| MEDICAID | 1328201 | RAIL ROAD MEDICARE | |
| MEDICAID | 1347957 | RAIL ROAD MEDICARE | |
| Other | H51432 | RAIL ROAD MEDICARE | |
| MEDICAID | 1319368 | RAIL ROAD MEDICARE | |
| Other | 51522945 | RAIL ROAD MEDICARE |
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