Woodward, Gary W

Woodward, Gary W is an individual health care provider with primary practice located at 621 E Matthews , Jonesboro AR 72401-3145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Woodward, Gary W can be contacted via phone (870) 932-6799.

Contact Information

Primary practice address
621 E Matthews Jonesboro AR 72401-3145
Fax: (870) 932-8423
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X R 4293 Arkansas

Profile Details

NPI number 1326013269
LBN Legal business name Woodward, Gary W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated May 1st, 2008 - about 16 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 1326013269 NPPES
Arkansas Other 040012508 RAILROAD MEDICARE
Arkansas MEDICAID 121667001 RAILROAD MEDICARE
Arkansas Other 55525 RAILROAD MEDICARE

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