Wulfestieg, Carl W.

Wulfestieg, Carl W. is an individual health care provider with primary practice located at 22 Prospect St , Woodstock VT 05091-1286. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Wulfestieg, Carl W. can be contacted via phone (802) 457-7116.

Contact Information

Primary practice address
22 Prospect St Woodstock VT 05091-1286
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD00017402 Washington

Profile Details

NPI number 1790748358
LBN Legal business name Wulfestieg, Carl W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jan 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790748358 NPPES
Washington MEDICAID 1526706
Washington Other 5208WU
Washington Other P00233197
Washington Other US4080197

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