Woody, Susan Alexandria
Woody, Susan Alexandria is an individual health care provider with primary practice located at 1911 S National Ave Suite 301, Springfield MO 65804-2219. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Woody, Susan Alexandria can be contacted via phone (417) 886-5000.Contact Information
Primary practice address
1911 S National Ave Suite 301
Springfield MO 65804-2219
Phone: (417) 886-5000
Fax: (417) 886-1100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 112946 | Missouri |
Profile Details
| NPI number | 1053408484 |
|---|---|
| LBN Legal business name | Woody, Susan Alexandria |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Dec 1st, 2009 - about 15 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 | 1053408484 | NPPES |
| Arkansas | MEDICAID | 150376003 | |
| Arkansas | Other | 390008238 | |
| Arkansas | Other | 405634 | |
| Arkansas | MEDICAID | 243850716 | |
| Arkansas | Other | 163193 | |
| Arkansas | Other | 005012599 |
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