Sean Lindsay Woodford, ATS
Student in an Organized Health Care Education/Training Program in Dekalb, IL. Individual provider (NPI-1).
Details
- NPI
- 1457712945
- Entity type
- Individual (NPI-1)
- Name
- Sean Lindsay Woodford
- Credential
- ATS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 11, 2016
- Last updated
- Mar 11, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
833 Ellwood AveDekalb, IL 60115-4146
Phone 815-901-1010
Mailing address
833 Ellwood AveDekalb, IL 60115-4146
Phone 815-901-1010
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 20 Student in an Organized Health Care Education/Training Program providers in Dekalb · All 1,126 providers in Dekalb
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