Wolters, Brett W

Wolters, Brett W is an individual health care provider with primary practice located at 800 N 1St St , Springfield IL 62702-3719. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Wolters, Brett W can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
800 N 1St St Springfield IL 62702-3719
Phone: (217) 528-7541
Fax: (217) 522-3118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036117547 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036117547 Illinois

Profile Details

NPI number 1235177023
LBN Legal business name Wolters, Brett W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated May 19th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235177023 NPPES
Illinois MEDICAID 036117547

Popular Providers