Wooldridge, Amy R.
Wooldridge, Amy R. is an individual health care provider with primary practice located at 1 Memorial Sq Ste 305 , Greenfield IN 46140-3308. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Wooldridge, Amy R. can be contacted via phone (317) 462-6662.Contact Information
Primary practice address
1 Memorial Sq Ste 305
Greenfield IN 46140-3308
Phone: (317) 462-6662
Fax: (317) 468-6275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01058321A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01058321A | Indiana |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 01058321A | Indiana |
Profile Details
| NPI number | 1386624070 |
|---|---|
| LBN Legal business name | Wooldridge, Amy R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Oct 11th, 2010 - about 16 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 | 1386624070 | NPPES |
| Other | 200311740H,L | MEDICAID GROUP#/LOCATION | |
| Other | 900284355 | MEDICAID GROUP#/LOCATION | |
| MEDICAID | 200486100 | MEDICAID GROUP#/LOCATION | |
| Other | 7482613 | MEDICAID GROUP#/LOCATION | |
| Other | 000000364755 | MEDICAID GROUP#/LOCATION |
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