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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861576415 | NPPES |
| Florida | MEDICAID | 065956800 |
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