Woodmansee, James A

Woodmansee, James A is an individual health care provider with primary practice located at 2230 N University Pkwy Suite 1A, Provo UT 84604-1509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Woodmansee, James A can be contacted via phone (801) 377-3413.

Contact Information

Primary practice address
2230 N University Pkwy Suite 1A Provo UT 84604-1509
Phone: (801) 377-3413
Fax: (801) 655-1940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1817981205 Utah

Profile Details

NPI number 1093703530
LBN Legal business name Woodmansee, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jul 12th, 2011 - about 15 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 1093703530 NPPES
Utah Other 308184 DMBA
Utah MEDICAID 1093703530 DMBA
Utah Other 000057007 DMBA
Utah Other 107007064102 DMBA
Utah Other 0100642 DMBA
Utah Other QM0000000779 DMBA
Utah Other 4584585 DMBA

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