Docks, Gary Wolk
Docks, Gary Wolk is an sole proprietor health care provider with primary practice located at 18810 Beverly Rd , Beverly Hills MI 48025-4014. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Docks, Gary Wolk can be contacted via phone (248) 646-5209.Contact Information
Primary practice address
18810 Beverly Rd
Beverly Hills MI 48025-4014
Phone: (248) 646-5209
Fax: (248) 203-6927
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 000785 | Michigan |
Profile Details
NPI number | 1558370197 |
---|---|
LBN Legal business name | Docks, Gary Wolk |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 5th, 2006 |
Last updated | Oct 28th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558370197 | NPPES |
Michigan | MEDICAID | 4848024 |
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