Woodman, Charles A
Woodman, Charles A is an individual health care provider with primary practice located at 2620 Wheaton Way , Bremerton WA 98310-3335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Woodman, Charles A can be contacted via phone (360) 377-3923.Contact Information
Primary practice address
2620 Wheaton Way
Bremerton WA 98310-3335
Phone: (360) 377-3923
Fax: (360) 373-4988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00016150 | Washington |
Profile Details
| NPI number | 1386631356 |
|---|---|
| LBN Legal business name | Woodman, Charles A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Nov 6th, 2012 - about 14 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 | 1386631356 | NPPES |
| Washington | Other | WO7842 | REGENCE |
| Washington | MEDICAID | 1061662 | REGENCE |
| Washington | Other | 91114366505 | REGENCE |
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