Wolfe, Gavin Payne
Wolfe, Gavin Payne is an individual health care provider with primary practice located at 103B Lewis St , Fort Walton Beach FL 32547-3142. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Wolfe, Gavin Payne can be contacted via phone (850) 362-6824.Contact Information
Primary practice address
103B Lewis St
Fort Walton Beach FL 32547-3142
Phone: (850) 362-6824
Fax: (850) 362-6826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1073020913 |
|---|---|
| LBN Legal business name | Wolfe, Gavin Payne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2017 |
| Last updated | Dec 31st, 2017 - about 9 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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