Wooten, John D
Wooten, John D is an individual health care provider with primary practice located at 1520 Sunday Dr , Raleigh NC 27607-5253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Wooten, John D can be contacted via phone (919) 782-3456.Contact Information
Primary practice address
1520 Sunday Dr
Raleigh NC 27607-5253
Phone: (919) 782-3456
Fax: (919) 787-7552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 30263 | North Carolina |
Profile Details
| NPI number | 1932131745 |
|---|---|
| LBN Legal business name | Wooten, John D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jan 13th, 2011 - about 13 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 | 1932131745 | NPPES |
| North Carolina | MEDICAID | 8912399 |
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