Woodward, Mark R
Woodward, Mark R is an sole proprietor health care provider with primary practice located at 1048 Us 31W Byp , Bowling Green KY 42101-2418. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Woodward, Mark R can be contacted via phone (270) 781-5644.Contact Information
Primary practice address
1048 Us 31W Byp
Bowling Green KY 42101-2418
Phone: (270) 781-5644
Fax: (270) 781-4401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4006 | Kentucky |
Profile Details
| NPI number | 1518965862 |
|---|---|
| LBN Legal business name | Woodward, Mark R |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Jan 26th, 2017 - about 9 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 | 1518965862 | NPPES |
| Kentucky | Other | 000000050377 | ANTHEM BLUE CROSS BLUE SH |
| Kentucky | MEDICAID | 85000115 | ANTHEM BLUE CROSS BLUE SH |
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