Woodward, Jonathan E

Woodward, Jonathan E is an individual health care provider with primary practice located at 6310 Lyndon B Johnson Fwy Ste 115 , Dallas TX 75240-6424. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Woodward, Jonathan E can be contacted via phone (972) 490-8888.

Contact Information

Primary practice address
6310 Lyndon B Johnson Fwy Ste 115 Dallas TX 75240-6424
Phone: (972) 490-8888
Fax: (972) 490-9830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 8755 Texas

Profile Details

NPI number 1740281914
LBN Legal business name Woodward, Jonathan E
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Aug 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740281914 NPPES
Texas Other 10009303 AMERIGROUP (MEDICAID)
Texas Other 1950891 AMERIGROUP (MEDICAID)
Texas Other 7035288 AMERIGROUP (MEDICAID)
Texas Other 8F6280 AMERIGROUP (MEDICAID)
Texas MEDICAID 1511776-02 AMERIGROUP (MEDICAID)
Texas Other 13276 AMERIGROUP (MEDICAID)

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