Wood, Susan Michelle

Wood, Susan Michelle is an individual health care provider with primary practice located at 306 W Main St , Bridgeport WV 26330-1751. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wood, Susan Michelle can be contacted via phone (304) 842-3137.

Contact Information

Primary practice address
306 W Main St Bridgeport WV 26330-1751
Phone: (304) 842-3137
Fax: (304) 842-3138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 945 West Virginia

Profile Details

NPI number 1487650107
LBN Legal business name Wood, Susan Michelle
Credentials MOTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487650107 NPPES
West Virginia Other 7280430 AETNA
West Virginia MEDICAID 7505080-000 AETNA
West Virginia Other 1382862 AETNA
West Virginia Other WV51916B AETNA
West Virginia Other 010718731007 AETNA
West Virginia Other 01071873100 AETNA
West Virginia Other 2103237 AETNA

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