Wolf, Robert
Wolf, Robert is an sole proprietor health care provider with primary practice located at 206 N Madison St , Woodstock IL 60098-3450. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wolf, Robert can be contacted via phone (815) 338-7810.Contact Information
Primary practice address
206 N Madison St
Woodstock IL 60098-3450
Phone: (815) 338-7810
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0046008431 | Illinois |
Profile Details
| NPI number | 1750432308 |
|---|---|
| LBN Legal business name | Wolf, Robert |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jul 18th, 2008 - about 16 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 | 1750432308 | NPPES |
| Illinois | MEDICAID | 0046008431 |
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