Wood, John A
Wood, John A is an individual health care provider with primary practice located at 12950 Se Kent Kangley Rd , Kent WA 98030-7940. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wood, John A can be contacted via phone (253) 630-9395.Contact Information
Primary practice address
12950 Se Kent Kangley Rd
Kent WA 98030-7940
Phone: (253) 630-9395
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2460 | Washington |
Profile Details
| NPI number | 1720113970 |
|---|---|
| LBN Legal business name | Wood, John A |
| Credentials | D.C., P.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Mar 20th, 2020 - about 4 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 | 1720113970 | NPPES |
| Washington | MEDICAID | 8405029 | |
| Washington | Other | 912094840 | |
| Washington | MEDICAID | 2012235 |
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