Wolf, Jason Mark
Wolf, Jason Mark is an individual health care provider with primary practice located at 6770 Mayfield Rd Suite 415, Mayfield Hts OH 44124-2299. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Wolf, Jason Mark can be contacted via phone (440) 461-2550.Contact Information
Primary practice address
6770 Mayfield Rd Suite 415
Mayfield Hts OH 44124-2299
Phone: (440) 461-2550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 35078218 | Ohio |
Profile Details
| NPI number | 1891898771 |
|---|---|
| LBN Legal business name | Wolf, Jason Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jun 27th, 2014 - about 10 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 | 1891898771 | NPPES |
| Ohio | MEDICAID | 2412384 |
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