Wolff, John L
Wolff, John L is an sole proprietor health care provider with primary practice located at 1683 Williston Road , South Burlington VT 05403-6426. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wolff, John L can be contacted via phone (802) 864-9111.Contact Information
Primary practice address
1683 Williston Road
South Burlington VT 05403-6426
Phone: (802) 864-9111
Fax: (802) 658-3970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0160000695 | Vermont |
Profile Details
| NPI number | 1750399713 |
|---|---|
| LBN Legal business name | Wolff, John L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| 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 | 1750399713 | NPPES |
| Other | 065862 | UNITED CONCORDIA | |
| MEDICAID | 0001915 | UNITED CONCORDIA |
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