Wulf, Thomas W

Wulf, Thomas W is an individual health care provider with primary practice located at 607 W Country Club Rd , Roswell NM 88201-5211. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wulf, Thomas W can be contacted via phone (575) 208-7795.

Contact Information

Primary practice address
607 W Country Club Rd Roswell NM 88201-5211
Phone: (575) 208-7795
Fax: (575) 208-7785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD2005-0529 New Mexico
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207LH0002X MD2005-0529 New Mexico

Profile Details

NPI number 1467405779
LBN Legal business name Wulf, Thomas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jun 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467405779 NPPES
New Mexico MEDICAID 42637716
New Mexico Other NM001H62

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