Wolf, Mark J

Wolf, Mark J is an individual health care provider with primary practice located at 103 E 23Rd St , Panama City FL 32405-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wolf, Mark J can be contacted via phone (850) 769-0338.

Contact Information

Primary practice address
103 E 23Rd St Panama City FL 32405-4501
Phone: (850) 769-0338
Fax: (850) 785-6088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME21062 Florida

Profile Details

NPI number 1861576415
LBN Legal business name Wolf, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jul 21st, 2011 - about 13 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 1861576415 NPPES
Florida MEDICAID 065956800

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