Rick Woodward in Wild Rose - Physician Assistant

Rick Woodward - NPI 1114912169

Rick Woodward is a Physician Assistant in Wild Rose, Wisconsin. Rick Woodward practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Rick Woodward is 1114912169. The last update date is 2007-07-08.

Rick Woodward's current location address is Po Box 243, Wild Rose, Wisconsin. You can contact this provider via phone number 9206223257. The mailing address for Rick Woodward is Po Box 243, Wild Rose, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Rick Woodward
Address Po Box 243, Wild Rose, Wisconsin
Phone Number 9206223257
Fax Number
Sole Proprietor X
Credentials PA

NPI Number Detail

NPI Number 1114912169
Provider Enumeration Date 2005-09-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 243
City Wild Rose
State Wisconsin (WI)
Post Code 549840243
Phone Number 9206223257
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 942-023
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42973400 WI --

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FAQs about Rick Woodward

What is the unique identifier code issued to Rick Woodward by the Centers for Medicare & Medicaid Services?

The Rick Woodward has been assigned the NPI (National Provider Identifier) 1114912169. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Rick Woodward?

The Rick Woodward is physically situated at Po Box 243, in the city of Wild Rose, state of WI, with the postal code 549840243.

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

The area of specialization for Rick Woodward is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

When did Rick Woodward receive its 1114912169 assignment?

The Rick Woodward was assigned its 1114912169 on 2005-09-15, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Rick Woodward most recently updated or revised?

The information pertaining to Rick Woodward, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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