Mrs. Jennifer Lee Wolbach
Podiatrist Prosthetist
317 Wellsian Way
Richland
, Washington 99352-4116
Mrs. Jennifer Lee Wolbach
Podiatrist Prosthetist
317 Wellsian Way
Richland
, Washington 99352-4116
(509) 943-1037
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About
Features
Specialties
- Podiatrist
- Prosthetist
Languages spoken
- English
Location
First Address
- Mrs. Jennifer Lee Wolbach
- 317 Wellsian Way
- Richland, WA
- Zip : 99352-4116
- Fax : (509) 943-1037
- Phone : (509) 943-8561
Second Address
- Mrs. Jennifer Lee Wolbach
- 317 Wellsian Way
- Richland, WA
- Zip : 99352-4116
- Fax : (509) 943-1037
- Phone : (095) 943-8561
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | ||
| N | 222Z00000X | Podiatrist | ||
| Y | 224P00000X | Prosthetist |
National Provider Identifier
| NPI | 1114479573 |
|---|---|
| Provider Name | Mrs. Jennifer Lee Wolbach |
| First Address | Richland, WA 99352-4116 |
| Second Address | Richland, WA 99352-4116 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2016 |
| Last Update Date | 05/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1114479573 | (05) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.