Wolf, Lloyd M

Wolf, Lloyd M is an individual health care provider with primary practice located at 2607 Keiser Blvd , Wyomissing PA 19610-3338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wolf, Lloyd M can be contacted via phone (610) 743-3139.

Contact Information

Primary practice address
2607 Keiser Blvd Wyomissing PA 19610-3338
Fax: (610) 743-3143
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS012325 Pennsylvania

Profile Details

NPI number 1578561205
LBN Legal business name Wolf, Lloyd M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 21st, 2017 - about 7 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 1578561205 NPPES
Pennsylvania MEDICAID 0019314860001
Pennsylvania MEDICAID 001931486

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