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
Fax: (812) 234-7314
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972642767 NPPES
Indiana MEDICAID 10025192A

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