Wood, Joshua David

Wood, Joshua David is an individual health care provider with primary practice located at 2050A 2Nd St Se , Kirtland Afb NM 87117-5901. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wood, Joshua David can be contacted via phone (720) 695-7889.

Contact Information

Primary practice address
2050A 2Nd St Se Kirtland Afb NM 87117-5901
Phone: (720) 695-7889
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1477958643
LBN Legal business name Wood, Joshua David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2014
Last updated Nov 6th, 2023 - about 3 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 1477958643 NPPES
Texas Other 1154545440 AIR FORCE TRICARE

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