Wolf, Debra L

Wolf, Debra L is an individual health care provider with primary practice located at 536 Mirabeau St , Greenfield OH 45123-1457. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wolf, Debra L can be contacted via phone (937) 981-9444.

Contact Information

Primary practice address
536 Mirabeau St Greenfield OH 45123-1457
Fax: (937) 981-9448
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA12214-NP Ohio

Profile Details

NPI number 1508155417
LBN Legal business name Wolf, Debra L
Credentials C-FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2011
Last updated Dec 21st, 2020 - about 4 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 1508155417 NPPES
Ohio MEDICAID 3140961

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