Wolk, Jeffrey M
Wolk, Jeffrey M is an sole proprietor health care provider with primary practice located at 3410 Canyon De Flores Suite B, Sierra Vista AZ 85650-5372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wolk, Jeffrey M can be contacted via phone (520) 459-4477.Contact Information
Primary practice address
3410 Canyon De Flores Suite B
Sierra Vista AZ 85650-5372
Phone: (520) 459-4477
Fax: (520) 803-9572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 33318 | Arizona |
Profile Details
| NPI number | 1184649634 |
|---|---|
| LBN Legal business name | Wolk, Jeffrey M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Feb 13th, 2011 - about 15 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 | 1184649634 | NPPES |
| Arizona | MEDICAID | 890790 |
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