Wooldridge, Joni Lea

Wooldridge, Joni Lea is an individual health care provider with primary practice located at 6400 Dutchmans Pkwy Suite 15, Louisville KY 40205-3340. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wooldridge, Joni Lea can be contacted via phone (502) 895-0524.

Contact Information

Primary practice address
6400 Dutchmans Pkwy Suite 15 Louisville KY 40205-3340
Fax: (502) 897-5798
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 24721 Kentucky

Profile Details

NPI number 1437202918
LBN Legal business name Wooldridge, Joni Lea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated May 26th, 2016 - about 10 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 1437202918 NPPES
Kentucky Other 000000051847 ANTHEM
Kentucky MEDICAID 64247216 ANTHEM
Kentucky Other 1049499 ANTHEM

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