Lulloff, Rolf Smart

Lulloff, Rolf Smart is an individual health care provider with primary practice located at 1715 Dousman St , Green Bay WI 54303-3211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lulloff, Rolf Smart can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
1715 Dousman St Green Bay WI 54303-3211
Phone: (920) 496-4700
Fax: (920) 496-4747
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 16457 Wisconsin

Profile Details

NPI number 1104859388
LBN Legal business name Lulloff, Rolf Smart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jul 28th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104859388 NPPES
Wisconsin MEDICAID 30977000

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