Woodard, Jameson Dean
Woodard, Jameson Dean is an individual health care provider with primary practice located at 1000 E Mountain Blvd , Wilkes Barre PA 18711. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Woodard, Jameson Dean can be contacted via phone (570) 808-7399.Contact Information
Primary practice address
1000 E Mountain Blvd
Wilkes Barre PA 18711
Phone: (570) 808-7399
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD441239 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 43891 | Arizona |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MT191745 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD441239 | Pennsylvania |
Profile Details
| NPI number | 1932382272 |
|---|---|
| LBN Legal business name | Woodard, Jameson Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 10th, 2007 |
| Last updated | Nov 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932382272 | NPPES |
| Arizona | MEDICAID | 596163 |
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