Wolkwitz, Jonathan

Wolkwitz, Jonathan is an individual health care provider with primary practice located at 116 E. 2Nd , Dexter NM 88230. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wolkwitz, Jonathan can be contacted via phone (575) 734-5817.

Contact Information

Primary practice address
116 E. 2Nd Dexter NM 88230
Phone: (575) 734-5817
Fax: (575) 734-6550
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 96-PA22 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 96-PA22 New Mexico

Profile Details

NPI number 1831186303
LBN Legal business name Wolkwitz, Jonathan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Sep 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831186303 NPPES
New Mexico MEDICAID 79336213

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