Wood, Jeremy Wayne

Wood, Jeremy Wayne is an sole proprietor health care provider with primary practice located at 4580 S Eastern Ave Suite 30, Las Vegas NV 89119-6100. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Wood, Jeremy Wayne can be contacted via phone (702) 731-3338.

Contact Information

Primary practice address
4580 S Eastern Ave Suite 30 Las Vegas NV 89119-6100
Phone: (702) 731-3338
Fax: (702) 731-3341
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0307 Nevada

Profile Details

NPI number 1831159128
LBN Legal business name Wood, Jeremy Wayne
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated May 15th, 2012 - about 13 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 1831159128 NPPES
Nevada MEDICAID 100503070
Nevada Other P00257221

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