Wolfe, Jack C

Wolfe, Jack C is an individual health care provider with primary practice located at 1625 E Main St Ste. 100, El Cajon CA 92021-5211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wolfe, Jack C can be contacted via phone (619) 442-9896.

Contact Information

Primary practice address
1625 E Main St Ste. 100 El Cajon CA 92021-5211
Phone: (619) 442-9896
Fax: (619) 442-2245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G29972 California

Profile Details

NPI number 1417055948
LBN Legal business name Wolfe, Jack C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated May 28th, 2015 - about 9 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 1417055948 NPPES
California MEDICAID 00G299720

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