Woodard, David Owen
Woodard, David Owen is an individual health care provider with primary practice located at 25 N Winfield Rd Ste 410, Winfield IL 60190. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Woodard, David Owen can be contacted via phone (630) 665-2101.Contact Information
Primary practice address
25 N Winfield Rd Ste 410
Winfield IL 60190
Phone: (630) 665-2101
Fax: (630) 665-3828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | Illinois |
Profile Details
| NPI number | 1447231782 |
|---|---|
| LBN Legal business name | Woodard, David Owen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447231782 | NPPES |
| Illinois | Other | 2201796 | BC |
| Illinois | MEDICAID | 0360801361 | BC |
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