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
Fax: (770) 926-6317
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053464800 NPPES
Georgia MEDICAID 00157924B

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