Woodham, Allen Gerald
Woodham, Allen Gerald is an sole proprietor health care provider with primary practice located at 991 Postal Way Apt 4 , Vista CA 92083-6932. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Woodham, Allen Gerald can be contacted via phone (760) 525-2656.Contact Information
Primary practice address
991 Postal Way Apt 4
Vista CA 92083-6932
Phone: (760) 525-2656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1316433089 |
|---|---|
| LBN Legal business name | Woodham, Allen Gerald |
| Credentials | RADT1 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2018 |
| Last updated | Jul 6th, 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.
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