Wolfson, Jack M

Wolfson, Jack M is an individual health care provider with primary practice located at 10585 N Tatum Blvd Ste D135, Paradise Valley AZ 85253-1073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wolfson, Jack M can be contacted via phone (480) 535-6844.

Contact Information

Primary practice address
10585 N Tatum Blvd Ste D135 Paradise Valley AZ 85253-1073
Phone: (480) 535-6844
Fax: (480) 535-6845
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 3761 Arizona

Profile Details

NPI number 1467458000
LBN Legal business name Wolfson, Jack M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 27th, 2016 - about 10 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 1467458000 NPPES
Arizona Other 1Z6403 HEALTHNET
Arizona Other 060068481 HEALTHNET
Arizona Other 25-01062 HEALTHNET
Arizona MEDICAID 690257 HEALTHNET
Arizona Other AZ0714780 HEALTHNET

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