Wolk, Fredrick Nathaniel
Wolk, Fredrick Nathaniel is an individual health care provider with primary practice located at 606 Esplanade Apt 5 , Redondo Beach CA 90277-4169. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wolk, Fredrick Nathaniel can be contacted via phone (310) 897-1613.Contact Information
Primary practice address
606 Esplanade Apt 5
Redondo Beach CA 90277-4169
Phone: (310) 897-1613
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C38222 | California |
Profile Details
| NPI number | 1669426078 |
|---|---|
| LBN Legal business name | Wolk, Fredrick Nathaniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jan 19th, 2022 - about 2 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 | 1669426078 | NPPES |
| California | MEDICAID | 00C382220 |
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