Wolfe, Randy L.
Wolfe, Randy L. is an individual health care provider with primary practice located at 1325 Triplett St , Owensboro KY 42303-3163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wolfe, Randy L. can be contacted via phone (270) 688-4325.Contact Information
Primary practice address
1325 Triplett St
Owensboro KY 42303-3163
Phone: (270) 688-4325
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 18397 | Kentucky |
Profile Details
NPI number | 1760486021 |
---|---|
LBN Legal business name | Wolfe, Randy L. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2005 |
Last updated | Jul 9th, 2007 - about 18 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 | 1760486021 | NPPES |
Kentucky | MEDICAID | 64183973 | |
Kentucky | Other | 000000198726 | |
Kentucky | MEDICAID | 65934259 | |
Kentucky | Other | 7513462 | |
Kentucky | Other | 50002978 |
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