Wolfert, Richard Evan
Wolfert, Richard Evan is an individual health care provider with primary practice located at 1121 Main St Suite #2, South Weymouth MA 02190-1513. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wolfert, Richard Evan can be contacted via phone (781) 335-0604.Contact Information
Primary practice address
1121 Main St Suite #2
South Weymouth MA 02190-1513
Phone: (781) 335-0604
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 14972 | Massachusetts |
Profile Details
| NPI number | 1033192281 |
|---|---|
| LBN Legal business name | Wolfert, Richard Evan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jul 8th, 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 | 1033192281 | NPPES |
| Massachusetts | Other | 014972 | DELTA PROVIDER NUMBER |
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