Wolfe, Douglas A

Wolfe, Douglas A is an individual health care provider with primary practice located at 2500 North State Street Department Of Medicine Division Of Cardiology, Jackson MS 39216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Wolfe, Douglas A can be contacted via phone (601) 984-5678.

Contact Information

Primary practice address
2500 North State Street Department Of Medicine Division Of Cardiology Jackson MS 39216
Phone: (601) 984-5678
Fax: (601) 984-5638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 15113 Mississippi
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 16113 Mississippi

Profile Details

NPI number 1861411621
LBN Legal business name Wolfe, Douglas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 28th, 2015 - about 10 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 1861411621 NPPES
Mississippi MEDICAID 00117309

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