Wolf, Judith K
Wolf, Judith K is an individual health care provider with primary practice located at 704 S Webster Ave , Green Bay WI 54301-3528. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Wolf, Judith K can be contacted via phone (920) 338-6868.Contact Information
Primary practice address
704 S Webster Ave
Green Bay WI 54301-3528
Phone: (920) 338-6868
Fax: (920) 338-6869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 307831 | New York |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | H4856 | Texas |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 01074549A | Indiana |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 33916 | Minnesota |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 71734-20 | Wisconsin |
Profile Details
| NPI number | 1790878726 |
|---|---|
| LBN Legal business name | Wolf, Judith K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Aug 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790878726 | NPPES |
| Indiana | Other | P01824838 | MEDICARE RR |
| Indiana | MEDICAID | 300001068 | MEDICARE RR |
| Indiana | MEDICAID | 41320501 | MEDICARE RR |
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