Wolk, Stephen M
Wolk, Stephen M is an individual health care provider with primary practice located at 301 E 2Nd St , Richland Center WI 53581-1900. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wolk, Stephen M can be contacted via phone (608) 647-6161.Contact Information
Primary practice address
301 E 2Nd St
Richland Center WI 53581-1900
Phone: (608) 647-6161
Fax: (608) 647-3178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 448 | Wisconsin |
Profile Details
| NPI number | 1700887015 |
|---|---|
| LBN Legal business name | Wolk, Stephen M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jan 15th, 2008 - about 17 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 | 1700887015 | NPPES |
| Wisconsin | MEDICAID | 42916200 | |
| Wisconsin | Other | 528513 | |
| Wisconsin | Other | 528514 | |
| Wisconsin | Other | 0852480001 |
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