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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700843174 NPPES
California MEDICAID 00G610801
California Other G61080

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