Wolfe, Diana Lee
Wolfe, Diana Lee is an individual health care provider with primary practice located at 3801 S National Ave 5Th Floor, Springfield MO 65807-5210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wolfe, Diana Lee can be contacted via phone (417) 269-7728.Contact Information
Primary practice address
3801 S National Ave 5Th Floor
Springfield MO 65807-5210
Phone: (417) 269-7728
Fax: (417) 269-7729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2002019572 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 04-30347 | Kansas |
Profile Details
| NPI number | 1477546539 |
|---|---|
| LBN Legal business name | Wolfe, Diana Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Dec 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477546539 | NPPES |
| Missouri | Other | 611348 | ANTHEM |
| Missouri | MEDICAID | 200003810A | ANTHEM |
| Missouri | MEDICAID | 200003810B | ANTHEM |
| Missouri | MEDICAID | 207626607 | ANTHEM |
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