Woodward, Brian Lee
Woodward, Brian Lee is an individual health care provider with primary practice located at 8460 Watson Road Suite 124, St Louis MO 63119-5247. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Woodward, Brian Lee can be contacted via phone (314) 842-2393.Contact Information
Primary practice address
8460 Watson Road Suite 124
St Louis MO 63119-5247
Phone: (314) 842-2393
Fax: (314) 842-7764
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 003700 | Missouri |
Profile Details
| NPI number | 1790886919 |
|---|---|
| LBN Legal business name | Woodward, Brian Lee |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1790886919 | NPPES |
| Missouri | Other | 14242 | BC BS |
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