Wolfe, Diana Lee

Wolfe, Diana Lee is an individual health care provider with primary practice located at 3801 S National Ave 5Th Floor, Springfield MO 65807-5210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wolfe, Diana Lee can be contacted via phone (417) 269-7728.

Contact Information

Primary practice address
3801 S National Ave 5Th Floor Springfield MO 65807-5210
Phone: (417) 269-7728
Fax: (417) 269-7729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2002019572 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 04-30347 Kansas

Profile Details

NPI number 1477546539
LBN Legal business name Wolfe, Diana Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Dec 17th, 2012 - about 14 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 1477546539 NPPES
Missouri Other 611348 ANTHEM
Missouri MEDICAID 200003810A ANTHEM
Missouri MEDICAID 200003810B ANTHEM
Missouri MEDICAID 207626607 ANTHEM

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