Wolfe, Ricky David
Wolfe, Ricky David is an sole proprietor health care provider with primary practice located at 1530 N Limestone St , Gaffney SC 29340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Wolfe, Ricky David can be contacted via phone (864) 487-1603.Contact Information
Primary practice address
1530 N Limestone St
Gaffney SC 29340
Phone: (864) 487-1603
Fax: (864) 487-1626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 14003 | South Carolina |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | North Carolina |
Profile Details
| NPI number | 1790762417 |
|---|---|
| LBN Legal business name | Wolfe, Ricky David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Oct 24th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790762417 | NPPES |
| North Carolina | MEDICAID | 5901767 | |
| North Carolina | MEDICAID | Q41705 | |
| North Carolina | MEDICAID | 00708606A |
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