Woodall, Judah Benjamin

Woodall, Judah Benjamin is an sole proprietor health care provider with primary practice located at 605 Polkville Rd , Shelby NC 28150-2898. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Woodall, Judah Benjamin can be contacted via phone (803) 230-5487.

Contact Information

Primary practice address
605 Polkville Rd Shelby NC 28150-2898
Phone: (803) 230-5487
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1578036240
LBN Legal business name Woodall, Judah Benjamin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2019
Last updated Jan 6th, 2019 - about 5 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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