Wolf, Dawn Michelle

Wolf, Dawn Michelle is an sole proprietor health care provider with primary practice located at 12813 Beresford Dr , Sterling Heights MI 48313-4113. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wolf, Dawn Michelle can be contacted via phone (586) 254-0421.

Contact Information

Primary practice address
12813 Beresford Dr Sterling Heights MI 48313-4113
Phone: (586) 254-0421
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003859 Michigan

Profile Details

NPI number 1538363494
LBN Legal business name Wolf, Dawn Michelle
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2007
Last updated Oct 4th, 2011 - about 13 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 1538363494 NPPES
Michigan Other 90-0-E0-6652-0 BCBS PROVIDER NUMBER
Michigan Other MI2084 BCBS PROVIDER NUMBER

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