Wood, Robert Allen

Wood, Robert Allen is an individual health care provider with primary practice located at 1919 Lathrop St , Fairbanks AK 99701-5937. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Wood, Robert Allen can be contacted via phone (907) 459-3500.

Contact Information

Primary practice address
1919 Lathrop St Fairbanks AK 99701-5937
Phone: (907) 459-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10003794 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 139988 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 139988 Alaska

Profile Details

NPI number 1457329542
LBN Legal business name Wood, Robert Allen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 31st, 2018 - about 7 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 1457329542 NPPES
Idaho Other 000010017647 REGENCE BLUE SHIELD OF ID
Idaho Other 970019578 REGENCE BLUE SHIELD OF ID
Idaho Other 8929877 REGENCE BLUE SHIELD OF ID
Idaho Other WO4266 REGENCE BLUE SHIELD OF ID
Idaho Other 379109600 REGENCE BLUE SHIELD OF ID
Idaho MEDICAID 003783300 REGENCE BLUE SHIELD OF ID
Idaho Other 149074 REGENCE BLUE SHIELD OF ID
Idaho Other 15388 REGENCE BLUE SHIELD OF ID
Idaho MEDICAID 8387359 REGENCE BLUE SHIELD OF ID
Idaho Other KQ506 REGENCE BLUE SHIELD OF ID

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