Wolf, Kevin Jay
Wolf, Kevin Jay is an sole proprietor health care provider with primary practice located at 407 N. Herman St , Goldsboro NC 27530. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Wolf, Kevin Jay can be contacted via phone (919) 583-9788.Contact Information
Primary practice address
407 N. Herman St
Goldsboro NC 27530
Phone: (919) 583-9788
Fax: (919) 583-9790
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 357 | North Carolina |
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 357 | North Carolina |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 357 | North Carolina |
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 357 | North Carolina |
Profile Details
NPI number | 1487712824 |
---|---|
LBN Legal business name | Wolf, Kevin Jay |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 5th, 2006 |
Last updated | Mar 12th, 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 | 1487712824 | NPPES |
North Carolina | MEDICAID | 890818H | |
North Carolina | Other | 0818H |
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