Woodard, Adeena Rachelle

Woodard, Adeena Rachelle is an individual health care provider with primary practice located at 1250 S Cedar Crest Blvd Ste 110 , Allentown PA 18103-6224. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Woodard, Adeena Rachelle can be contacted via phone (610) 402-8900.

Contact Information

Primary practice address
1250 S Cedar Crest Blvd Ste 110 Allentown PA 18103-6224
Phone: (610) 402-8900
Fax: (610) 402-5656
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X OA005840 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X OA005840 Pennsylvania

Profile Details

NPI number 1386302651
LBN Legal business name Woodard, Adeena Rachelle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2021
Last updated Jun 6th, 2022 - about 2 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 1386302651 NPPES
Pennsylvania Other OA005840 STATE LICENSE

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