Woodworth, Bryan Andrew

Woodworth, Bryan Andrew is an individual health care provider with primary practice located at 19600 East 39Th Street Centerpoint Medical Center, Independence MO 64057-2301. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Woodworth, Bryan Andrew can be contacted via phone (816) 698-7000.

Contact Information

Primary practice address
19600 East 39Th Street Centerpoint Medical Center Independence MO 64057-2301
Phone: (816) 698-7000
Fax: (816) 698-8165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 149870 Missouri

Profile Details

NPI number 1578522082
LBN Legal business name Woodworth, Bryan Andrew
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jun 17th, 2008 - about 17 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 1578522082 NPPES
Missouri MEDICAID 915365423
Missouri Other P00297139

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