Wolf, Michael L

Wolf, Michael L is an individual health care provider with primary practice located at 111 Cliff Cave Road Suite 100, St Louis MO 63129. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wolf, Michael L can be contacted via phone (314) 846-8232.

Contact Information

Primary practice address
111 Cliff Cave Road Suite 100 St Louis MO 63129
Phone: (314) 846-8232
Fax: (314) 293-9345
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T02717 Missouri

Profile Details

NPI number 1043251150
LBN Legal business name Wolf, Michael L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043251150 NPPES
Missouri MEDICAID 537942807

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