Wolf, Gina
Wolf, Gina is an sole proprietor health care provider with primary practice located at 601 S Us Highway 131 , Three Rivers MI 49093-8831. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wolf, Gina can be contacted via phone (269) 286-7070.Contact Information
Primary practice address
601 S Us Highway 131
Three Rivers MI 49093-8831
Phone: (269) 286-7070
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601008332 | Michigan |
Profile Details
| NPI number | 1275050817 |
|---|---|
| LBN Legal business name | Wolf, Gina |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2017 |
| Last updated | Dec 28th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275050817 | NPPES |
| Michigan | Other | 5601008332 | MICHIGAN PHYSICIAN ASSISTANT TEMPORARY LICENSE |
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