Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC004224L | PA |
NPI | 1619976594 |
---|---|
Provider Name | Dr. Linda Leigh Woodworth |
First Address | Covington, PA 16917-9512 |
Second Address | Covington, PA 16917-9512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2005 |
Last Update Date | 08/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10824 | (02) | PA |
810611 | FIRST PRIORITY HEALTH (01) | PA |
WO580326 | BLUE SHIELD OF PA (01) | PA |