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
Fax: (608) 647-3178
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700887015 NPPES
Wisconsin MEDICAID 42916200
Wisconsin Other 528513
Wisconsin Other 528514
Wisconsin Other 0852480001

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