MEDICARE: WOODS DURABLE MEDICAL CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	08001962A	IN

General Provider Information

NPI Number	:	1740508936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODS DURABLE MEDICAL CORP

Provider Business Mailing Address
First Line	:	8509 WESTFIELD BLVD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-2369
Country	:	US
Telephone Number	:	317-257-3919
Fax Number	:

Provider Business Practice Location Address
First Line	:	8509 WESTFIELD BLVD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-2369
Country	:	US
Telephone Number	:	317-257-3919
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	RON A WOODS
Credential	:	D.C.
Telephone Number	:	317-257-3919

Provider Enumeration Date	:	05/12/2010
Last Update Date	:	05/12/2010

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