Woodyard, Clyde W
Woodyard, Clyde W is an individual health care provider with primary practice located at 2726 Electric Rd , Roanoke VA 24018-3528. 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. Woodyard, Clyde W can be contacted via phone (540) 772-4448.Contact Information
Primary practice address
2726 Electric Rd
Roanoke VA 24018-3528
Phone: (540) 772-4448
Fax: (540) 772-0410
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110840258 | Virginia |
Profile Details
NPI number | 1720083785 |
---|---|
LBN Legal business name | Woodyard, Clyde W |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2005 |
Last updated | Jan 26th, 2022 - about 2 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 | 1720083785 | NPPES |
Virginia | Other | 242488 | ANTHEM |
Virginia | Other | 541839718 | ANTHEM |
Virginia | Other | 54183971800 | ANTHEM |
Virginia | Other | 200026 | ANTHEM |
Virginia | MEDICAID | 006404995 | ANTHEM |
Virginia | Other | 541839718042 | ANTHEM |
Virginia | Other | 541839718043 | ANTHEM |
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