Wolgast, Johanna Marie
Wolgast, Johanna Marie is an individual health care provider with primary practice located at 100 S San Mateo Dr , San Mateo CA 94401-3805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wolgast, Johanna Marie can be contacted via phone (650) 696-4427.Contact Information
Primary practice address
100 S San Mateo Dr
San Mateo CA 94401-3805
Phone: (650) 696-4427
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A71643 | California |
Profile Details
| NPI number | 1558467522 |
|---|---|
| LBN Legal business name | Wolgast, Johanna Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jun 22nd, 2020 - about 4 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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