Woida, Douglas Jerome

Woida, Douglas Jerome is an individual health care provider with primary practice located at 8500 W Capitol Dr Ste 100 , Milwaukee WI 53222-1869. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Woida, Douglas Jerome can be contacted via phone (414) 431-5004.

Contact Information

Primary practice address
8500 W Capitol Dr Ste 100 Milwaukee WI 53222-1869
Phone: (414) 431-5004
Fax: (414) 431-2959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1865-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1865 Wisconsin

Profile Details

NPI number 1790823045
LBN Legal business name Woida, Douglas Jerome
Credentials MS PAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jan 18th, 2019 - about 7 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 1790823045 NPPES
Wisconsin MEDICAID 1790823045

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