Wood, John
Wood, John is an individual health care provider with primary practice located at 9001 Summa Ave , Baton Rouge LA 70809-3726. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Wood, John can be contacted via phone (225) 761-5402.Contact Information
Primary practice address
9001 Summa Ave
Baton Rouge LA 70809-3726
Phone: (225) 761-5402
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD.207008 | Louisiana |
Profile Details
| NPI number | 1417190497 |
|---|---|
| LBN Legal business name | Wood, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2009 |
| Last updated | Oct 7th, 2015 - about 11 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 | 1417190497 | NPPES |
| Louisiana | MEDICAID | 2369369 | |
| Louisiana | MEDICAID | 03850047 |
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