Wolfe, Bobby Joe

Wolfe, Bobby Joe is an individual health care provider with primary practice located at 100 Tamberline St , Brandon MS 39042-3164. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Wolfe, Bobby Joe can be contacted via phone (601) 825-2141.

Contact Information

Primary practice address
100 Tamberline St Brandon MS 39042-3164
Phone: (601) 825-2141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 07076 Mississippi

Profile Details

NPI number 1740324698
LBN Legal business name Wolfe, Bobby Joe
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Apr 15th, 2011 - about 14 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 1740324698 NPPES
Mississippi MEDICAID 00123676

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