Wolfe, Brenda L.
Wolfe, Brenda L. is an sole proprietor health care provider with primary practice located at 7850 Jefferson St Ne Ste 300 , Albuquerque NM 87109-4314. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wolfe, Brenda L. can be contacted via phone (505) 884-1114.Contact Information
Primary practice address
7850 Jefferson St Ne Ste 300
Albuquerque NM 87109-4314
Phone: (505) 884-1114
Fax: (505) 884-3004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0790 | New Mexico |
Profile Details
| NPI number | 1063411973 |
|---|---|
| LBN Legal business name | Wolfe, Brenda L. |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Dec 14th, 2022 - about 3 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 | 1063411973 | NPPES |
| New Mexico | Other | NM00JA81 | BC/BS |
| New Mexico | Other | 1A7168 | BC/BS |
| New Mexico | MEDICAID | 00A9807 | BC/BS |
| New Mexico | Other | 010642518 | BC/BS |
| New Mexico | Other | 010642518 | BC/BS |
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