Woodworth, Billie Jo

Woodworth, Billie Jo is an individual health care provider with primary practice located at 7375 Oswego Rd , Liverpool NY 13090-3717. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Woodworth, Billie Jo can be contacted via phone (315) 291-0064.

Contact Information

Primary practice address
7375 Oswego Rd Liverpool NY 13090-3717
Phone: (315) 291-0064
Fax: (315) 291-0065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F334646-1 New York

Profile Details

NPI number 1710922794
LBN Legal business name Woodworth, Billie Jo
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Apr 13th, 2023 - about 3 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 1710922794 NPPES
New York Other P019334646 EXCELLUS ROCHESTER REGION
New York Other 170811 EXCELLUS ROCHESTER REGION
New York Other F334646-1 EXCELLUS ROCHESTER REGION
New York MEDICAID 02684077 EXCELLUS ROCHESTER REGION
New York Other 2005004992 EXCELLUS ROCHESTER REGION

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