Woofter, Dominick Ryan
Woofter, Dominick Ryan is an individual health care provider with primary practice located at 1664 E Pike Street , Clarksburg WV 26301-6011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Woofter, Dominick Ryan can be contacted via phone (304) 709-7000.Contact Information
Primary practice address
1664 E Pike Street
Clarksburg WV 26301-6011
Phone: (304) 709-7000
Fax: (304) 624-1780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21451 | West Virginia |
Profile Details
| NPI number | 1760581326 |
|---|---|
| LBN Legal business name | Woofter, Dominick Ryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jan 23rd, 2015 - about 11 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 | 1760581326 | NPPES |
| West Virginia | MEDICAID | 1812727000 |
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