Wolf, Jason R

Wolf, Jason R is an individual health care provider with primary practice located at 601 Gateway Blvd N , Chesterton IN 46304-9658. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Wolf, Jason R can be contacted via phone (219) 921-1444.

Contact Information

Primary practice address
601 Gateway Blvd N Chesterton IN 46304-9658
Phone: (219) 921-1444
Fax: (219) 921-5303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1932416120
LBN Legal business name Wolf, Jason R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2010
Last updated Mar 19th, 2021 - 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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