Woods, Dana Phillip

Woods, Dana Phillip is an individual health care provider with primary practice located at 83 Quarry St , Willimantic CT 06226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Woods, Dana Phillip can be contacted via phone (860) 423-1619.

Contact Information

Primary practice address
83 Quarry St Willimantic CT 06226
Fax: (860) 423-7640
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X CT040216 Connecticut

Profile Details

NPI number 1639140213
LBN Legal business name Woods, Dana Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Sep 29th, 2022 - about 4 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 1639140213 NPPES
Connecticut MEDICAID 001402164

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