Wolf, Evan
Wolf, Evan is an individual health care provider with primary practice located at 4505 E Greenstreet Cir , Wasilla AK 99654-8425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wolf, Evan can be contacted via phone (907) 376-2020.Contact Information
Primary practice address
4505 E Greenstreet Cir
Wasilla AK 99654-8425
Phone: (907) 376-2020
Fax: (907) 357-3937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4915 | Alaska |
Profile Details
| NPI number | 1205801586 |
|---|---|
| LBN Legal business name | Wolf, Evan |
| Credentials | M.D.,PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Dec 4th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205801586 | NPPES |
| Alaska | MEDICAID | MD22351 |
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