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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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