Woods, Stephen Douglas

Woods, Stephen Douglas is an sole proprietor health care provider with primary practice located at 5400 N Illinois St Suite 104, Fairview Heights IL 62208-3563. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Woods, Stephen Douglas can be contacted via phone (618) 235-1500.

Contact Information

Primary practice address
5400 N Illinois St Suite 104 Fairview Heights IL 62208-3563
Phone: (618) 235-1500
Fax: (618) 235-1501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-009938 Illinois

Profile Details

NPI number 1043315526
LBN Legal business name Woods, Stephen Douglas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Nov 30th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043315526 NPPES
Illinois Other 2632008 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 038-009938 BLUE CROSS BLUE SHIELD
Illinois Other 612200 BLUE CROSS BLUE SHIELD

Popular Providers