Wooten, John D

Wooten, John D is an individual health care provider with primary practice located at 1520 Sunday Dr , Raleigh NC 27607-5253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Wooten, John D can be contacted via phone (919) 782-3456.

Contact Information

Primary practice address
1520 Sunday Dr Raleigh NC 27607-5253
Phone: (919) 782-3456
Fax: (919) 787-7552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 30263 North Carolina

Profile Details

NPI number 1932131745
LBN Legal business name Wooten, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jan 13th, 2011 - about 15 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 1932131745 NPPES
North Carolina MEDICAID 8912399

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