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
Fax: (919) 639-2913
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912053893 NPPES
North Carolina MEDICAID 7803171

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