Woodle, Edward M

Woodle, Edward M is an sole proprietor health care provider with primary practice located at 660 Stutzman Rd , Indiana PA 15701-3603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Woodle, Edward M can be contacted via phone (724) 465-9000.

Contact Information

Primary practice address
660 Stutzman Rd Indiana PA 15701-3603
Fax: (724) 465-7617
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS007141L Pennsylvania

Profile Details

NPI number 1912004177
LBN Legal business name Woodle, Edward M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Mar 5th, 2013 - about 11 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 1912004177 NPPES
Pennsylvania Other 1465395 UMWA
Pennsylvania Other 714382 UMWA
Pennsylvania MEDICAID 0012770100007 UMWA

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