Wolk, Stephen M

Wolk, Stephen M is an sole proprietor health care provider with primary practice located at 50 Moisey Drive Suite 103 , Hazleton PA 18202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wolk, Stephen M can be contacted via phone (570) 501-6580.

Contact Information

Primary practice address
50 Moisey Drive Suite 103 Hazleton PA 18202
Fax: (570) 501-6598
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD038358L Pennsylvania

Profile Details

NPI number 1578589354
LBN Legal business name Wolk, Stephen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Aug 29th, 2019 - about 6 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 1578589354 NPPES
Pennsylvania MEDICAID 0009196560001

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