Wolf, Tyler Andrew
Wolf, Tyler Andrew is an individual health care provider with primary practice located at 7678 Cottonwood Dr , Jenison MI 49428. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wolf, Tyler Andrew can be contacted via phone (616) 457-4600.Contact Information
Primary practice address
7678 Cottonwood Dr
Jenison MI 49428
Phone: (616) 457-4600
Fax: (616) 457-6021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2901017916 | Michigan |
Profile Details
| NPI number | 1831277136 |
|---|---|
| LBN Legal business name | Wolf, Tyler Andrew |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1831277136 | NPPES |
| Other | 1367809 | UNITED CONCORDIA |
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