Wolf, David L

Wolf, David L is an individual health care provider with primary practice located at 2520 N 14Th Ave , Dodge City KS 67801-2315. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wolf, David L can be contacted via phone (620) 227-3071.

Contact Information

Primary practice address
2520 N 14Th Ave Dodge City KS 67801-2315
Phone: (620) 227-3071
Fax: (620) 227-6911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1007-2 Kansas

Profile Details

NPI number 1184720096
LBN Legal business name Wolf, David L
Credentials OD PA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jan 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184720096 NPPES
Kansas Other 410012459 RAILROAD MEDICARE
Kansas MEDICAID 100090850A RAILROAD MEDICARE

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