Woodruff, Jillian Marie

Woodruff, Jillian Marie is an individual health care provider with primary practice located at 3851 Piper St Ste U471 , Anchorage AK 99508-6905. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Woodruff, Jillian Marie can be contacted via phone (907) 339-0363.

Contact Information

Primary practice address
3851 Piper St Ste U471 Anchorage AK 99508-6905
Fax: (907) 339-2363
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101248984 Virginia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 100764 Alaska

Profile Details

NPI number 1376794156
LBN Legal business name Woodruff, Jillian Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2008
Last updated Apr 20th, 2023 - about 3 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 1376794156 NPPES
Alaska MEDICAID 1632651

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