Wooden, Howard
Wooden, Howard is an sole proprietor health care provider with primary practice located at 400 Wabash Ave Ste 212 , Terre Haute IN 47807-3276. He recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as his primary health care specialty. Wooden, Howard can be contacted via phone (812) 234-4642.Contact Information
Primary practice address
400 Wabash Ave Ste 212
Terre Haute IN 47807-3276
Phone: (812) 234-4642
Fax: (812) 234-7314
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 20090127A | Indiana |
Profile Details
NPI number | 1972642767 |
---|---|
LBN Legal business name | Wooden, Howard |
Credentials | PHD HSSP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 6th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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 | 1972642767 | NPPES |
Indiana | MEDICAID | 10025192A |
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