Wood, George Albert
Wood, George Albert is an sole proprietor health care provider with primary practice located at 580 Lincoln St , Worcester MA 01605-1916. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Wood, George Albert can be contacted via phone (508) 853-2790.Contact Information
Primary practice address
580 Lincoln St
Worcester MA 01605-1916
Phone: (508) 853-2790
Fax: (508) 853-2791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 808 | Massachusetts |
Profile Details
| NPI number | 1225170665 |
|---|---|
| LBN Legal business name | Wood, George Albert |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1225170665 | NPPES |
| Massachusetts | MEDICAID | 1603400 | |
| Massachusetts | Other | 35213 | |
| Massachusetts | Other | 715391 | |
| Massachusetts | Other | 042894453 0003 | |
| Massachusetts | Other | Y35555 | |
| Massachusetts | Other | 042894453 |
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