Stewart, Edythe Woodruff
Stewart, Edythe Woodruff is an individual health care provider with primary practice located at 105 W El Portal Dr Ste B , Merced CA 95348-2858. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Stewart, Edythe Woodruff can be contacted via phone (209) 325-4897.Contact Information
Primary practice address
105 W El Portal Dr Ste B
Merced CA 95348-2858
Phone: (209) 325-4897
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A65931 | California |
Profile Details
| NPI number | 1497775720 |
|---|---|
| LBN Legal business name | Stewart, Edythe Woodruff |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Sep 26th, 2023 - about 3 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 | 1497775720 | NPPES |
| California | MEDICAID | 00A659310 |
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