Lee P.Woodruff Dpm, P.A.
LBN: Lee P.Woodruff Dpm, P.A.
Lee P.Woodruff Dpm, P.A. is an health care organization with primary practice located at 1815 Executive Sq , Jonesboro AR 72401-6086. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty.
Lee P.Woodruff Dpm, P.A. can be contacted via phone (870) 933-0041, or through Woodruff, Lee P. via phone (870) 933-0041.
Contact Information
Primary practice address
1815 Executive Sq
Jonesboro AR 72401-6086
Phone: (870) 933-0041
Fax: (870) 933-0531
Website:
Authorized official contact:
Name: Woodruff, Lee P. Doctor of Podiatric Medicine (DPM)
Phone: (870) 933-0041
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Podiatric | 261QP1100X | 117 | Arkansas |
Profile Details
| NPI number | 1114249661 |
|---|---|
| LBN Legal business name | Lee P.Woodruff Dpm, P.A. |
| DBA Doing business as | |
| Authorized official | Woodruff, Lee P. Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 25th, 2010 |
| Last updated | Feb 25th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114249661 | NPPES |
| Arkansas | MEDICAID | 119031717 |
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