Woods, Jessy G.

Woods, Jessy G. is an individual health care provider with primary practice located at 1436 Locust St , Terre Haute IN 47807-1648. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Woods, Jessy G. can be contacted via phone (812) 232-7447.

Contact Information

Primary practice address
1436 Locust St Terre Haute IN 47807-1648
Fax: (812) 232-6962
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01062542A Indiana

Profile Details

NPI number 1427275353
LBN Legal business name Woods, Jessy G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Dec 7th, 2020 - about 4 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 1427275353 NPPES
Indiana Other 153868 RURAL HEALTH MEDICARE
Indiana MEDICAID 200868190 RURAL HEALTH MEDICARE

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