Wolf, James A

Wolf, James A is an individual health care provider with primary practice located at 341 E Bannock St , Boise ID 83712-6208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Wolf, James A can be contacted via phone (208) 342-7033.

Contact Information

Primary practice address
341 E Bannock St Boise ID 83712-6208
Phone: (208) 342-7033
Fax: (208) 342-7034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X M8272 Idaho

Profile Details

NPI number 1538164272
LBN Legal business name Wolf, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Apr 3rd, 2009 - about 17 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 1538164272 NPPES
Idaho MEDICAID 8061001
Idaho Other M8272

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