Woodruff, Stephen J

Woodruff, Stephen J is an sole proprietor health care provider with primary practice located at 22 Eastview Lane , Berlin VT 05641-5317. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Woodruff, Stephen J can be contacted via phone (802) 479-4006.

Contact Information

Primary practice address
22 Eastview Lane Berlin VT 05641-5317
Phone: (802) 479-4006
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 042-0005972 Vermont
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 042-0005972 Vermont

Profile Details

NPI number 1225051766
LBN Legal business name Woodruff, Stephen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Jun 30th, 2011 - about 15 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 1225051766 NPPES
Vermont MEDICAID 0007497

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