Wollak, Istvan David

Wollak, Istvan David is an individual health care provider with primary practice located at 401 Southcrest Cir Suite 212, Southaven MS 38671-6726. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Wollak, Istvan David can be contacted via phone (662) 349-0488.

Contact Information

Primary practice address
401 Southcrest Cir Suite 212 Southaven MS 38671-6726
Phone: (662) 349-0488
Fax: (662) 349-5974
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 19168 Mississippi
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 19168 Mississippi

Profile Details

NPI number 1619919305
LBN Legal business name Wollak, Istvan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jan 24th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619919305 NPPES
Mississippi Other 19168 LICENSE NUMBER

Popular Providers