Wolf, Ryan David

Wolf, Ryan David is an individual health care provider with primary practice located at 2000 Boise Ave , Loveland CO 80538-5006. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wolf, Ryan David can be contacted via phone (970) 635-4071.

Contact Information

Primary practice address
2000 Boise Ave Loveland CO 80538-5006
Phone: (970) 635-4071
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3208 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3208 Colorado

Profile Details

NPI number 1295719441
LBN Legal business name Wolf, Ryan David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated May 16th, 2013 - about 12 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 1295719441 NPPES
Colorado MEDICAID 31505244

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