Woodbury, Richard A

Woodbury, Richard A is an individual health care provider with primary practice located at 1105 6Th St , Traverse City MI 49684-2349. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Woodbury, Richard A can be contacted via phone (231) 947-0673.

Contact Information

Primary practice address
1105 6Th St Traverse City MI 49684-2349
Phone: (231) 947-0673
Fax: (801) 740-2847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301048309 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301048309 Michigan

Profile Details

NPI number 1497750814
LBN Legal business name Woodbury, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jan 2nd, 2019 - about 5 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 1497750814 NPPES
Michigan MEDICAID 4326496
Michigan Other RW048309

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