Wolf, Daniel Alan

Wolf, Daniel Alan is an individual health care provider with primary practice located at 520 Pope Ave , Fort Leavenworth KS 66027-2332. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wolf, Daniel Alan can be contacted via phone (913) 684-5516.

Contact Information

Primary practice address
520 Pope Ave Fort Leavenworth KS 66027-2332
Phone: (913) 684-5516
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1992879985
LBN Legal business name Wolf, Daniel Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1992879985 NPPES
Missouri Other 2002008390 DENTAL LICENSE

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