Woodard, Senora
Woodard, Senora is an sole proprietor health care provider with primary practice located at 2316 Angier Rd , Fuquay Varina NC 27526. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as her primary health care specialty. Woodard, Senora can be contacted via phone (919) 639-6893.Contact Information
Primary practice address
2316 Angier Rd
Fuquay Varina NC 27526
Phone: (919) 639-6893
Fax: (919) 639-2913
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | MHL092231 | North Carolina |
Profile Details
NPI number | 1912053893 |
---|---|
LBN Legal business name | Woodard, Senora |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 25th, 2007 |
Last updated | Jan 3rd, 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 | 1912053893 | NPPES |
North Carolina | MEDICAID | 7803171 |
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