Wolgin, David Michael
Wolgin, David Michael is an sole proprietor health care provider with primary practice located at 1111 E Tahquitz Canyon Way Ste 209 , Palm Springs CA 92262-0102. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wolgin, David Michael can be contacted via phone (760) 424-2266.Contact Information
Primary practice address
1111 E Tahquitz Canyon Way Ste 209
Palm Springs CA 92262-0102
Phone: (760) 424-2266
Fax: (760) 424-2266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 27046 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 7114 | Massachusetts |
Profile Details
| NPI number | 1679686083 |
|---|---|
| LBN Legal business name | Wolgin, David Michael |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2006 |
| Last updated | May 22nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679686083 | NPPES |
| Massachusetts | Other | 405446 | TUFTS PROVIDER NUMBER |
| Massachusetts | Other | WO 5934 | TUFTS PROVIDER NUMBER |
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