Woody, Ronald H

Woody, Ronald H is an individual health care provider with primary practice located at 420 W Morris Blvd Health Star Physicians Ste 400B, Morristown TN 37813. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Woody, Ronald H can be contacted via phone (423) 586-2410.

Contact Information

Primary practice address
420 W Morris Blvd Health Star Physicians Ste 400B Morristown TN 37813
Phone: (423) 586-2410
Fax: (423) 581-9692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA314 Tennessee

Profile Details

NPI number 1669423547
LBN Legal business name Woody, Ronald H
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jun 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669423547 NPPES
Tennessee MEDICAID 3669317

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