Wolfrum, Jacob John
Wolfrum, Jacob John is an individual health care provider with primary practice located at 4915 E Baseline Rd , Gilbert AZ 85234-2965. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Wolfrum, Jacob John can be contacted via phone (480) 812-3668.Contact Information
Primary practice address
4915 E Baseline Rd
Gilbert AZ 85234-2965
Phone: (480) 812-3668
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| 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 | Jul 28th, 2025 - about last year |
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 | 1437649084 | NPPES |
| Arizona | MEDICAID | 149399 |
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