Woodard, Keith A
Woodard, Keith A is an individual health care provider with primary practice located at 1313 W High St , Bryan OH 43506-1545. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Woodard, Keith A can be contacted via phone (419) 636-1531.Contact Information
Primary practice address
1313 W High St
Bryan OH 43506-1545
Phone: (419) 636-1531
Fax: (419) 636-1025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3154/T707 | Ohio |
Profile Details
| NPI number | 1124027982 |
|---|---|
| LBN Legal business name | Woodard, Keith A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Mar 13th, 2008 - about 16 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 | 1124027982 | NPPES |
| Ohio | MEDICAID | 2740583 |
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