Wood, Michael
Wood, Michael is an sole proprietor health care provider with primary practice located at 124 Mallard St , Greenville SC 29601-4046. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wood, Michael can be contacted via phone (864) 241-1040.Contact Information
Primary practice address
124 Mallard St
Greenville SC 29601-4046
Phone: (864) 241-1040
Fax: (864) 241-1215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 13283 | South Carolina |
Profile Details
| NPI number | 1881642908 |
|---|---|
| LBN Legal business name | Wood, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | May 14th, 2008 - about 17 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 | 1881642908 | NPPES |
| South Carolina | MEDICAID | 301100 |
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