Wolff, Gregory Alan

Wolff, Gregory Alan is an sole proprietor health care provider with primary practice located at 19333 W North Ave , Brookfield WI 53045-4132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Wolff, Gregory Alan can be contacted via phone (262) 785-2000.

Contact Information

Primary practice address
19333 W North Ave Brookfield WI 53045-4132
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 49740 Colorado
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2549 Colorado
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 57318-20 Wisconsin

Profile Details

NPI number 1356513006
LBN Legal business name Wolff, Gregory Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2008
Last updated Dec 29th, 2021 - about 3 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 1356513006 NPPES
Colorado MEDICAID 28203330
Colorado Other 022266

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