Wolfe, Charlie Woodrow

Wolfe, Charlie Woodrow is an individual health care provider with primary practice located at 29520 Canvasback Dr , Easton MD 21601-7124. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Wolfe, Charlie Woodrow can be contacted via phone (410) 822-5007.

Contact Information

Primary practice address
29520 Canvasback Dr Easton MD 21601-7124
Fax: (410) 822-5569
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1861788796
LBN Legal business name Wolfe, Charlie Woodrow
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2011
Last updated Jun 20th, 2011 - about 13 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 1861788796 NPPES
Maryland MEDICAID 609500300
Maryland MEDICAID 609550002

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