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
Phone: (870) 932-6799
Fax: (870) 932-8423
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326013269 | NPPES |
Arkansas | Other | 040012508 | RAILROAD MEDICARE |
Arkansas | MEDICAID | 121667001 | RAILROAD MEDICARE |
Arkansas | Other | 55525 | RAILROAD MEDICARE |
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