Wolf, Jeffrey Stephen

Wolf, Jeffrey Stephen is an sole proprietor health care provider with primary practice located at 3235 Academy Ave Suite 200, Portsmouth VA 23703-3200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Wolf, Jeffrey Stephen can be contacted via phone (757) 484-9653.

Contact Information

Primary practice address
3235 Academy Ave Suite 200 Portsmouth VA 23703-3200
Phone: (757) 484-9653
Fax: (757) 484-9662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 0101031444 Virginia
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 9400174 North Carolina

Profile Details

NPI number 1083731525
LBN Legal business name Wolf, Jeffrey Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Feb 8th, 2008 - about 17 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 1083731525 NPPES
Virginia Other 292832 MAMSI
Virginia Other 072337 MAMSI
Virginia Other 200136 MAMSI
Virginia MEDICAID 890528E MAMSI
Virginia MEDICAID 005841232 MAMSI

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