Woody, Dennis J
Woody, Dennis J is an individual health care provider with primary practice located at 1310 W Hays Street , Boise ID 83702. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Woody, Dennis J can be contacted via phone (208) 395-0041.Contact Information
Primary practice address
1310 W Hays Street
Boise ID 83702
Phone: (208) 395-0041
Fax: (208) 343-4458
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY276 | Idaho |
Profile Details
NPI number | 1376659177 |
---|---|
LBN Legal business name | Woody, Dennis J |
Credentials | PH D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 22nd, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1376659177 | NPPES |
Idaho | Other | 000010016343 | REGENCE BLUE SHIELD |
Idaho | Other | N2761 | REGENCE BLUE SHIELD |
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