Wood, Elaine M
Wood, Elaine M is an sole proprietor health care provider with primary practice located at 226 W Kytle St Suite B, Cleveland GA 30528-1332. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wood, Elaine M can be contacted via phone (706) 219-1998.Contact Information
Primary practice address
226 W Kytle St Suite B
Cleveland GA 30528-1332
Phone: (706) 219-1998
Fax: (706) 219-2038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY01744 | Georgia |
Profile Details
| NPI number | 1437294485 |
|---|---|
| LBN Legal business name | Wood, Elaine M |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Apr 27th, 2009 - about 16 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 | 1437294485 | NPPES |
| Georgia | MEDICAID | 000622256A |
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