Wood, Jacob Myles

Wood, Jacob Myles is an individual health care provider with primary practice located at 8595 Picardy Ave Ste 100 , Baton Rouge LA 70809-3674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wood, Jacob Myles can be contacted via phone (225) 763-4900.

Contact Information

Primary practice address
8595 Picardy Ave Ste 100 Baton Rouge LA 70809-3674
Phone: (225) 763-4900
Fax: (225) 763-4066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00024312 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 202160 Louisiana

Profile Details

NPI number 1700858255
LBN Legal business name Wood, Jacob Myles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Dec 13th, 2018 - 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 1700858255 NPPES
Other P00141370 RAIL ROAD MEDICARE
MEDICAID 051522945 RAIL ROAD MEDICARE
Other H51432 RAIL ROAD MEDICARE
MEDICAID 1328201 RAIL ROAD MEDICARE
MEDICAID 1347957 RAIL ROAD MEDICARE
Other H51432 RAIL ROAD MEDICARE
MEDICAID 1319368 RAIL ROAD MEDICARE
Other 51522945 RAIL ROAD MEDICARE

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