Wolf, Charles

Wolf, Charles is an individual health care provider with primary practice located at 710 Franklin St Suite 100, Michigan City IN 46360-3563. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wolf, Charles can be contacted via phone (219) 873-7037.

Contact Information

Primary practice address
710 Franklin St Suite 100 Michigan City IN 46360-3563
Phone: (219) 873-7037
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05001149A Indiana

Profile Details

NPI number 1336159474
LBN Legal business name Wolf, Charles
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Aug 26th, 2008 - 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 1336159474 NPPES
Indiana MEDICAID 200128030

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