Wolfe Mobile Medical Llc

LBN: Wolfe Mobile Medical Llc
Wolfe Mobile Medical Llc is an health care organization with primary practice located at 510 Grey Fox Run , Watertown WI 53094-5901. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Wolfe Mobile Medical Llc can be contacted via phone (920) 253-5851, or through Wolfe, Thomas Andrew via phone (920) 253-5851.

Contact Information

Primary practice address
510 Grey Fox Run Watertown WI 53094-5901
Phone: (920) 253-5851
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wolfe, Thomas Andrew Doctor of Medicine (MD)
Phone: (920) 253-5851

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 29319-020 Wisconsin

Profile Details

NPI number 1265611586
LBN Legal business name Wolfe Mobile Medical Llc
DBA Doing business as
Authorized official Wolfe, Thomas Andrew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2007
Last updated Nov 2nd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265611586 NPPES
Other 1003998394 NPI ENUMERATOR
MEDICAID 31425500 NPI ENUMERATOR
Other 29319 NPI ENUMERATOR

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