Wolford, Charles Walter

Wolford, Charles Walter is an sole proprietor health care provider with primary practice located at 620 Howard Ave , Altoona PA 16601-4804. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wolford, Charles Walter can be contacted via phone (814) 889-2141.

Contact Information

Primary practice address
620 Howard Ave Altoona PA 16601-4804
Fax: (814) 889-7999
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW004708E Pennsylvania

Profile Details

NPI number 1114079522
LBN Legal business name Wolford, Charles Walter
Credentials LSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114079522 NPPES
Pennsylvania Other 17595 GEISINGER
Pennsylvania Other 138020 GEISINGER
Pennsylvania Other 273989 GEISINGER
Pennsylvania Other 629812 GEISINGER

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