Woodruff, Wesley Ray
Woodruff, Wesley Ray is an individual health care provider with primary practice located at 130 S Willow St Ste 9 , Kenai AK 99611-9107. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Woodruff, Wesley Ray can be contacted via phone (907) 782-8377.Contact Information
Primary practice address
130 S Willow St Ste 9
Kenai AK 99611-9107
Phone: (907) 782-8377
Fax: (907) 283-0084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | 1712359 | Alaska |
Profile Details
| NPI number | 1487336715 |
|---|---|
| LBN Legal business name | Woodruff, Wesley Ray |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2023 |
| Last updated | Aug 4th, 2023 - about last year |
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 | 1487336715 | NPPES |
| Alaska | MEDICAID | 1712359 |
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