Wooldridge, Robert P

Wooldridge, Robert P is an individual health care provider with primary practice located at 201 E 5900 S #201, Murray UT 84107-7379. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wooldridge, Robert P can be contacted via phone (801) 268-6408.

Contact Information

Primary practice address
201 E 5900 S #201 Murray UT 84107-7379
Fax: (801) 262-9216
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1126318908 Utah
Eye and Vision Services Providers / Optometrist 152W00000X 1126319934 Utah

Profile Details

NPI number 1013962828
LBN Legal business name Wooldridge, Robert P
Credentials O.D. PC
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Aug 1st, 2012 - about 12 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 1013962828 NPPES
Utah Other 180009389 RAILROAD MEDICARE

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