Woods, Michael

Woods, Michael is an individual health care provider with primary practice located at 1701 E College Ave , Bloomington IL 61704-2101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Woods, Michael can be contacted via phone (309) 664-3170.

Contact Information

Primary practice address
1701 E College Ave Bloomington IL 61704-2101
Phone: (309) 664-3170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036073539 Illinois

Profile Details

NPI number 1871698761
LBN Legal business name Woods, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Oct 6th, 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 1871698761 NPPES
Illinois Other IL2613 MEDICARE GROUP PTAN
Illinois Other 833230 MEDICARE GROUP PTAN

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