Woldum, Lane A

Woldum, Lane A is an individual health care provider with primary practice located at 611 1St Ave , Chippewa Falls WI 54729-1242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Woldum, Lane A can be contacted via phone (715) 838-5222.

Contact Information

Primary practice address
611 1St Ave Chippewa Falls WI 54729-1242
Phone: (715) 838-5222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37299 Wisconsin

Profile Details

NPI number 1588609481
LBN Legal business name Woldum, Lane A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jul 15th, 2009 - about 16 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 1588609481 NPPES
Wisconsin MEDICAID 32178300

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