Wolfrum, Jacob John

Wolfrum, Jacob John is an individual health care provider with primary practice located at 14418 W Meeker Blvd # B-205 , Sun City West AZ 85375-5283. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Wolfrum, Jacob John can be contacted via phone (480) 788-5621.

Contact Information

Primary practice address
14418 W Meeker Blvd # B-205 Sun City West AZ 85375-5283
Phone: (480) 788-5621
Fax: (480) 779-1277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD-001046 Arizona

Profile Details

NPI number 1437649084
LBN Legal business name Wolfrum, Jacob John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2018
Last updated Jan 13th, 2023 - about 3 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 1437649084 NPPES
Arizona MEDICAID 149399

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