Wolff, Jeff Lyle

Wolff, Jeff Lyle is an individual health care provider with primary practice located at 622 W Grand Xing , Mobridge SD 57601-2051. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Wolff, Jeff Lyle can be contacted via phone (605) 845-5757.

Contact Information

Primary practice address
622 W Grand Xing Mobridge SD 57601-2051
Phone: (605) 845-5757
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 710 South Dakota

Profile Details

NPI number 1760453716
LBN Legal business name Wolff, Jeff Lyle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2006
Last updated Oct 12th, 2012 - about 14 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 1760453716 NPPES
South Dakota MEDICAID 7602862

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