Wolf, Linda
Wolf, Linda is an sole proprietor health care provider with primary practice located at 205 Hawkins Store Rd Nw Suite A-1, Kennesaw GA 30144-6204. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Wolf, Linda can be contacted via phone (770) 926-3400.Contact Information
Primary practice address
205 Hawkins Store Rd Nw Suite A-1
Kennesaw GA 30144-6204
Phone: (770) 926-3400
Fax: (770) 926-6317
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | DN008821 | Georgia |
Profile Details
NPI number | 1053464800 |
---|---|
LBN Legal business name | Wolf, Linda |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 18th, 2007 |
Last updated | Jul 8th, 2007 - 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 | 1053464800 | NPPES |
Georgia | MEDICAID | 00157924B |
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