Wood, Robert Allen
Wood, Robert Allen is an individual health care provider with primary practice located at 1919 Lathrop St , Fairbanks AK 99701-5937. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Wood, Robert Allen can be contacted via phone (907) 459-3500.Contact Information
Primary practice address
1919 Lathrop St
Fairbanks AK 99701-5937
Phone: (907) 459-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10003794 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 139988 | Alaska |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 139988 | Alaska |
Profile Details
| NPI number | 1457329542 |
|---|---|
| LBN Legal business name | Wood, Robert Allen |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Dec 31st, 2018 - about 8 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 | 1457329542 | NPPES |
| Idaho | Other | 000010017647 | REGENCE BLUE SHIELD OF ID |
| Idaho | Other | 970019578 | REGENCE BLUE SHIELD OF ID |
| Idaho | Other | 8929877 | REGENCE BLUE SHIELD OF ID |
| Idaho | Other | WO4266 | REGENCE BLUE SHIELD OF ID |
| Idaho | Other | 379109600 | REGENCE BLUE SHIELD OF ID |
| Idaho | MEDICAID | 003783300 | REGENCE BLUE SHIELD OF ID |
| Idaho | Other | 149074 | REGENCE BLUE SHIELD OF ID |
| Idaho | Other | 15388 | REGENCE BLUE SHIELD OF ID |
| Idaho | MEDICAID | 8387359 | REGENCE BLUE SHIELD OF ID |
| Idaho | Other | KQ506 | REGENCE BLUE SHIELD OF ID |
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