Wolf, Bruce Alexander

Wolf, Bruce Alexander is an individual health care provider with primary practice located at 906 Woodland Dr Suite 102, Elizabethtown KY 42701-2752. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Wolf, Bruce Alexander can be contacted via phone (270) 765-5127.

Contact Information

Primary practice address
906 Woodland Dr Suite 102 Elizabethtown KY 42701-2752
Phone: (270) 765-5127
Fax: (270) 765-2653
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 21707 Kentucky
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 21707 Kentucky

Profile Details

NPI number 1134120934
LBN Legal business name Wolf, Bruce Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Oct 8th, 2010 - about 16 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 1134120934 NPPES
Kentucky MEDICAID 64217078

Popular Providers