Wolfson, Jack M
Wolfson, Jack M is an individual health care provider with primary practice located at 10585 N Tatum Blvd Ste D135, Paradise Valley AZ 85253-1073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wolfson, Jack M can be contacted via phone (480) 535-6844.Contact Information
Primary practice address
10585 N Tatum Blvd Ste D135
Paradise Valley AZ 85253-1073
Phone: (480) 535-6844
Fax: (480) 535-6845
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 3761 | Arizona |
Profile Details
NPI number | 1467458000 |
---|---|
LBN Legal business name | Wolfson, Jack M |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2005 |
Last updated | Jul 27th, 2016 - about 8 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 | 1467458000 | NPPES |
Arizona | Other | 1Z6403 | HEALTHNET |
Arizona | Other | 060068481 | HEALTHNET |
Arizona | Other | 25-01062 | HEALTHNET |
Arizona | MEDICAID | 690257 | HEALTHNET |
Arizona | Other | AZ0714780 | HEALTHNET |
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