Woodward, Rick
Woodward, Rick is an individual health care provider with primary practice located at 34700 Valley Rd , Oconomowoc WI 53066-4500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Woodward, Rick can be contacted via phone (800) 767-4411.Contact Information
Primary practice address
34700 Valley Rd
Oconomowoc WI 53066-4500
Phone: (800) 767-4411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 942-023 | Wisconsin |
Profile Details
| NPI number | 1114912169 |
|---|---|
| LBN Legal business name | Woodward, Rick |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Mar 22nd, 2024 - about 8 months 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 | 1114912169 | NPPES |
| Wisconsin | MEDICAID | 42973400 |
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