Wood, Michael D

Wood, Michael D is an sole proprietor health care provider with primary practice located at 2300 Robinson Ave , Conway AR 72034-4945. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Wood, Michael D can be contacted via phone (501) 548-6100.

Contact Information

Primary practice address
2300 Robinson Ave Conway AR 72034-4945
Phone: (501) 548-6100
Fax: (501) 548-6105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C-7346 Arkansas

Profile Details

NPI number 1922003102
LBN Legal business name Wood, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated Apr 19th, 2011 - 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 1922003102 NPPES
Arkansas MEDICAID 122417001

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