Woodyard, Clyde W

Woodyard, Clyde W is an individual health care provider with primary practice located at 2726 Electric Rd , Roanoke VA 24018-3528. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Woodyard, Clyde W can be contacted via phone (540) 772-4448.

Contact Information

Primary practice address
2726 Electric Rd Roanoke VA 24018-3528
Phone: (540) 772-4448
Fax: (540) 772-0410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110840258 Virginia

Profile Details

NPI number 1720083785
LBN Legal business name Woodyard, Clyde W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jan 26th, 2022 - about 4 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 1720083785 NPPES
Virginia Other 242488 ANTHEM
Virginia Other 541839718 ANTHEM
Virginia Other 54183971800 ANTHEM
Virginia Other 200026 ANTHEM
Virginia MEDICAID 006404995 ANTHEM
Virginia Other 541839718042 ANTHEM
Virginia Other 541839718043 ANTHEM

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