Woodward, John William
Woodward, John William is an individual health care provider with primary practice located at 111 Kilson Dr Ste 201 , Mooresville NC 28117-8218. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Woodward, John William can be contacted via phone (704) 663-2091.Contact Information
Primary practice address
111 Kilson Dr Ste 201
Mooresville NC 28117-8218
Phone: (704) 663-2091
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2013-01023 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036119343 | Illinois |
Profile Details
| NPI number | 1508072620 |
|---|---|
| LBN Legal business name | Woodward, John William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2007 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1508072620 | NPPES |
| Illinois | MEDICAID | 0361193431 | |
| Illinois | Other | P00936475 | |
| Illinois | MEDICAID | 0361193439 | |
| Illinois | MEDICAID | 036119343 | |
| Illinois | Other | 36119343 |
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