Woodall, John W
Woodall, John W is an individual health care provider with primary practice located at 141 W 22Nd St Ste 215 , Anderson IN 46016-4389. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Woodall, John W can be contacted via phone (765) 644-3673.Contact Information
Primary practice address
141 W 22Nd St Ste 215
Anderson IN 46016-4389
Phone: (765) 644-3673
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01022907 | Indiana |
Profile Details
| NPI number | 1639120256 |
|---|---|
| LBN Legal business name | Woodall, John W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Oct 26th, 2017 - about 8 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 | 1639120256 | NPPES |
| Indiana | MEDICAID | 100171870 | |
| Indiana | Other | 080025262 |
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