Wolf, Thomas C

Wolf, Thomas C is an individual health care provider with primary practice located at 3431 S Boulevard St Suite 106, Edmond OK 73013-5475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wolf, Thomas C can be contacted via phone (405) 562-2036.

Contact Information

Primary practice address
3431 S Boulevard St Suite 106 Edmond OK 73013-5475
Phone: (405) 562-2036
Fax: (405) 562-2116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 13218 Oklahoma

Profile Details

NPI number 1124088067
LBN Legal business name Wolf, Thomas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Dec 31st, 2012 - 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 1124088067 NPPES
Oklahoma MEDICAID 100110830B
Oklahoma Other DA7066

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