Wolf, Thomas A
Wolf, Thomas A is an individual health care provider with primary practice located at 350 W 23Rd St Ste A, Fremont NE 68025-2592. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wolf, Thomas A can be contacted via phone (402) 721-7077.Contact Information
Primary practice address
350 W 23Rd St Ste A
Fremont NE 68025-2592
Phone: (402) 721-7077
Fax: (402) 753-6056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23824 | Nebraska |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 0430314 | Kansas |
Profile Details
| NPI number | 1659305506 |
|---|---|
| LBN Legal business name | Wolf, Thomas A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jul 17th, 2013 - about 11 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 | 1659305506 | NPPES |
| Other | P00357706 | RR MEDICARE | |
| MEDICAID | 10025238700 | RR MEDICARE | |
| Other | 31173 | RR MEDICARE |
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