Wood, Jessica Rachel
Wood, Jessica Rachel is an individual health care provider with primary practice located at 55 N Gilbert St , Tinton Falls NJ 07701-4904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wood, Jessica Rachel can be contacted via phone (732) 842-6677.Contact Information
Primary practice address
55 N Gilbert St
Tinton Falls NJ 07701-4904
Phone: (732) 842-6677
Fax: (732) 530-2946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MB08069000 | New Jersey |
Profile Details
| NPI number | 1821183344 |
|---|---|
| LBN Legal business name | Wood, Jessica Rachel |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Feb 22nd, 2010 - about 14 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 | 1821183344 | NPPES |
| New Jersey | Other | 25MB08069000 | MEDICAL LICENSE |
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