Wolfe, Tina M
Wolfe, Tina M is an individual health care provider with primary practice located at 240 Maple Street , Woodruff WI 54568-0470. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wolfe, Tina M can be contacted via phone (715) 356-8000.Contact Information
Primary practice address
240 Maple Street
Woodruff WI 54568-0470
Phone: (715) 356-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5523-024 | Wisconsin |
Profile Details
| NPI number | 1790866267 |
|---|---|
| LBN Legal business name | Wolfe, Tina M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Jul 9th, 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 | 1790866267 | NPPES |
| Wisconsin | MEDICAID | 40315900 |
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