Wolf, Erin Alise

Wolf, Erin Alise is an individual health care provider with primary practice located at 520 Mary St Ste 520 , Evansville IN 47710-1682. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wolf, Erin Alise can be contacted via phone (812) 424-8231.

Contact Information

Primary practice address
520 Mary St Ste 520 Evansville IN 47710-1682
Phone: (812) 424-8231
Fax: (812) 435-8794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10003300A Indiana

Profile Details

NPI number 1710554746
LBN Legal business name Wolf, Erin Alise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2021
Last updated Mar 5th, 2024 - about last year

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 1710554746 NPPES
Indiana Other 10003300A IN STATE LICENCE
Indiana MEDICAID 300053008 IN STATE LICENCE
Indiana Other 000001573435 IN STATE LICENCE
Indiana Other 10003300B IN STATE LICENCE
Indiana MEDICAID 7100754090 IN STATE LICENCE

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