Woodard, Larry Odell
Woodard, Larry Odell is an sole proprietor health care provider with primary practice located at 407 14Th Ave Se , Puyallup WA 98372-3770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Woodard, Larry Odell can be contacted via phone (253) 848-6661.Contact Information
Primary practice address
407 14Th Ave Se
Puyallup WA 98372-3770
Phone: (253) 848-6661
Fax: (253) 770-5990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD00027487 | Washington |
Profile Details
| NPI number | 1508893140 |
|---|---|
| LBN Legal business name | Woodard, Larry Odell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jun 27th, 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 | 1508893140 | NPPES |
| Washington | MEDICAID | 8378465 |
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