Woodruff, Robert W.

Woodruff, Robert W. is an individual health care provider with primary practice located at 627 Eastland Ave Se Ste 201 , Warren OH 44484-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Woodruff, Robert W. can be contacted via phone (330) 841-4661.

Contact Information

Primary practice address
627 Eastland Ave Se Ste 201 Warren OH 44484-4501
Phone: (330) 841-4661
Fax: (330) 841-4565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35075650W Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 35.075650 Ohio

Profile Details

NPI number 1659351617
LBN Legal business name Woodruff, Robert W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Oct 28th, 2021 - about 3 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 1659351617 NPPES
Ohio Other H153540 MEDICARE PTAN
Ohio MEDICAID 2110870 MEDICARE PTAN
Ohio Other H176220 MEDICARE PTAN

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