Wooton, Brian Douglas
Wooton, Brian Douglas is an individual health care provider with primary practice located at 40520 Co Hwy 34 White Earth Health Center, Ogema MN 56569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wooton, Brian Douglas can be contacted via phone (218) 983-4300.Contact Information
Primary practice address
40520 Co Hwy 34 White Earth Health Center
Ogema MN 56569
Phone: (218) 983-4300
Fax: (218) 983-6217
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 47147 | Minnesota |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 8642 | North Dakota |
Profile Details
NPI number | 1972569051 |
---|---|
LBN Legal business name | Wooton, Brian Douglas |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1972569051 | NPPES |
Other | 351G7W0 | BCBS | |
Other | 585241027376 | BCBS |
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