Woods, John Robert
Woods, John Robert is an individual health care provider with primary practice located at 615 N Michigan St , South Bend IN 46601-1033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Woods, John Robert can be contacted via phone (574) 647-7459.Contact Information
Primary practice address
615 N Michigan St
South Bend IN 46601-1033
Phone: (574) 647-7459
Fax: (574) 647-3411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01031817A | Indiana |
Profile Details
| NPI number | 1316046485 |
|---|---|
| LBN Legal business name | Woods, John Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Feb 15th, 2010 - about 16 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 | 1316046485 | NPPES |
| Indiana | MEDICAID | 100385150 | |
| Indiana | Other | 000000636043 |
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