Woodard, Traci D.
Woodard, Traci D. is an individual health care provider with primary practice located at 3801 North Blvd , Baton Rouge LA 70806-3825. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Woodard, Traci D. can be contacted via phone (225) 655-6422.Contact Information
Primary practice address
3801 North Blvd
Baton Rouge LA 70806-3825
Phone: (225) 655-6422
Fax: (225) 341-5903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD.025775 | Louisiana |
Profile Details
| NPI number | 1184743163 |
|---|---|
| LBN Legal business name | Woodard, Traci D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Mar 15th, 2017 - about 8 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 | 1184743163 | NPPES |
| Louisiana | MEDICAID | 1044130 |
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