Wolf, Bradley M

Wolf, Bradley M is an individual health care provider with primary practice located at 7277 Smiths Mill Rd , New Albany OH 43054-8195. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wolf, Bradley M can be contacted via phone (614) 221-6331.

Contact Information

Primary practice address
7277 Smiths Mill Rd New Albany OH 43054-8195
Phone: (614) 221-6331
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004685 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.006426RX Ohio

Profile Details

NPI number 1043253149
LBN Legal business name Wolf, Bradley M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Dec 15th, 2023 - about 3 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 1043253149 NPPES
Ohio MEDICAID 0410432

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