Wolf, Lucas Edward

Wolf, Lucas Edward is an sole proprietor health care provider with primary practice located at 85 Herrick St Beverly Hospital, Beverly MA 01915-1790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Wolf, Lucas Edward can be contacted via phone (978) 922-3000.

Contact Information

Primary practice address
85 Herrick St Beverly Hospital Beverly MA 01915-1790
Phone: (978) 922-3000
Fax: (978) 356-5548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 150874 Massachusetts

Profile Details

NPI number 1780754481
LBN Legal business name Wolf, Lucas Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated Dec 21st, 2015 - about 11 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 1780754481 NPPES
Massachusetts MEDICAID 3173852

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