Wolf, Frederick Gregory

Wolf, Frederick Gregory is an individual health care provider with primary practice located at 1244 Primacy Pkwy , Memphis TN 38119-0201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Wolf, Frederick Gregory can be contacted via phone (901) 767-8662.

Contact Information

Primary practice address
1244 Primacy Pkwy Memphis TN 38119-0201
Phone: (901) 767-8662
Fax: (901) 767-8666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 36520 Tennessee
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 36520 Tennessee

Profile Details

NPI number 1578538443
LBN Legal business name Wolf, Frederick Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Apr 28th, 2021 - about 3 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 1578538443 NPPES
Tennessee Other 7951429 AETNA
Tennessee MEDICAID 3874732 AETNA
Tennessee Other 00002219069 05 AETNA
Tennessee Other 36520 AETNA
Tennessee Other 0995742 AETNA
Tennessee Other 4179731 AETNA
Tennessee Other 620819926 AETNA
Tennessee Other P00624366 AETNA
Tennessee MEDICAID 07187860 AETNA
Tennessee Other 620819926 AETNA

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