Woodruff, Robert W.
Woodruff, Robert W. is an individual health care provider with primary practice located at 627 Eastland Ave Se Ste 201 , Warren OH 44484-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Woodruff, Robert W. can be contacted via phone (330) 841-4661.Contact Information
Primary practice address
627 Eastland Ave Se Ste 201
Warren OH 44484-4501
Phone: (330) 841-4661
Fax: (330) 841-4565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35075650W | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35.075650 | Ohio |
Profile Details
| NPI number | 1659351617 |
|---|---|
| LBN Legal business name | Woodruff, Robert W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Oct 28th, 2021 - about 5 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 | 1659351617 | NPPES |
| Ohio | Other | H153540 | MEDICARE PTAN |
| Ohio | MEDICAID | 2110870 | MEDICARE PTAN |
| Ohio | Other | H176220 | MEDICARE PTAN |
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