Woodard, Mark L

Woodard, Mark L is an individual health care provider with primary practice located at 1223 S Gear Ave Suite 109, West Burlington IA 52655-1682. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Woodard, Mark L can be contacted via phone (319) 768-1820.

Contact Information

Primary practice address
1223 S Gear Ave Suite 109 West Burlington IA 52655-1682
Phone: (319) 768-1820
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 02278 Iowa

Profile Details

NPI number 1114975141
LBN Legal business name Woodard, Mark L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Sep 26th, 2014 - about 12 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 1114975141 NPPES
Iowa MEDICAID 3261990
Iowa Other P00172359
Iowa Other 37985

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