Wolfson, Brad A
Wolfson, Brad A is an sole proprietor health care provider with primary practice located at 555 E Tachevah Dr Ste 2W-101, Palm Springs CA 92262-5750. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wolfson, Brad A can be contacted via phone (760) 320-6005.Contact Information
Primary practice address
555 E Tachevah Dr Ste 2W-101
Palm Springs CA 92262-5750
Phone: (760) 320-6005
Fax: (760) 323-5786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | G61080 | California |
Profile Details
| NPI number | 1700843174 |
|---|---|
| LBN Legal business name | Wolfson, Brad A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Feb 15th, 2012 - about 12 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 | 1700843174 | NPPES |
| California | MEDICAID | 00G610801 | |
| California | Other | G61080 |
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