Woodham, Robert Bently
Woodham, Robert Bently is an sole proprietor health care provider with primary practice located at 2150 E Kimberly Rd , Davenport IA 52807-2225. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Woodham, Robert Bently can be contacted via phone (563) 359-0791.Contact Information
Primary practice address
2150 E Kimberly Rd
Davenport IA 52807-2225
Phone: (563) 359-0791
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1699 | Iowa |
Profile Details
| NPI number | 1477672392 |
|---|---|
| LBN Legal business name | Woodham, Robert Bently |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1477672392 | NPPES |
| Iowa | MEDICAID | 0002543 |
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