Wooldridge, Amy R.

Wooldridge, Amy R. is an individual health care provider with primary practice located at 1 Memorial Sq Ste 305 , Greenfield IN 46140-3308. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Wooldridge, Amy R. can be contacted via phone (317) 462-6662.

Contact Information

Primary practice address
1 Memorial Sq Ste 305 Greenfield IN 46140-3308
Phone: (317) 462-6662
Fax: (317) 468-6275
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01058321A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01058321A Indiana
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 01058321A Indiana

Profile Details

NPI number 1386624070
LBN Legal business name Wooldridge, Amy R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Oct 11th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386624070 NPPES
Other 200311740H,L MEDICAID GROUP#/LOCATION
Other 900284355 MEDICAID GROUP#/LOCATION
MEDICAID 200486100 MEDICAID GROUP#/LOCATION
Other 7482613 MEDICAID GROUP#/LOCATION
Other 000000364755 MEDICAID GROUP#/LOCATION

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