Susan Michelle Wood in Bridgeport - Specialist

Susan Michelle Wood - NPI 1487650107

Susan Michelle Wood is a Specialist in Bridgeport, . Susan Michelle Wood practices all healthcare services and medical treatments related to Specialist. The NPI Number for Susan Michelle Wood is 1487650107. The last update date is 2007-07-08.

Susan Michelle Wood's current location address is 306 W Main St, Bridgeport, . You can contact this provider via phone number 3048423137 and fax number 3048423138. The mailing address for Susan Michelle Wood is 306 W Main St, Bridgeport, . To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Michelle Wood
Address 306 W Main St, Bridgeport,
Phone Number 3048423137
Fax Number 3048423138
Sole Proprietor X
Credentials MOTR/L

NPI Number Detail

NPI Number 1487650107
Provider Enumeration Date 2005-06-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 306 W Main St
City Bridgeport
State (WV)
Post Code 263301751
Phone Number 3048423137
Fax Number 3048423138

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 945
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7280430 WV AETNA
7505080-000 WV --
1382862 WV UMWA
WV51916B WV HEALTH PLAN
10718731007 WV BC/BS
1071873100 WV WV WORKERS' COMPENSATION
2103237 WV OPTIMUM CHOICE

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FAQs about Susan Michelle Wood

What is the unique 10-digit identifier code assigned to Susan Michelle Wood by the Centers for Medicare & Medicaid Services?

The Susan Michelle Wood has been issued the NPI (National Provider Identifier) 1487650107 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Susan Michelle Wood located?

The Susan Michelle Wood is located at 306 W Main St, Bridgeport, WV 263301751.

What is Susan Michelle Wood's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Susan Michelle Wood is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1487650107 to Susan Michelle Wood?

The Susan Michelle Wood received its 1487650107 assignment from the Centers for Medicare & Medicaid Services on 2005-06-27.

As of what date were the Susan Michelle Wood's details last updated?

The information pertaining to the Susan Michelle Wood, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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