Wooten, Michael B.

Wooten, Michael B. is an individual health care provider with primary practice located at 2115 S Fremont Ave Suite 3300, Springfield MO 65804-2239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Wooten, Michael B. can be contacted via phone (417) 820-5200.

Contact Information

Primary practice address
2115 S Fremont Ave Suite 3300 Springfield MO 65804-2239
Phone: (417) 820-5200
Fax: (417) 820-5220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X R8483 Missouri

Profile Details

NPI number 1235274796
LBN Legal business name Wooten, Michael B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 9th, 2007 - about 18 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 1235274796 NPPES
Missouri Other 81381 AR BLUE SHIELD #

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