Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 01046449 | IN |
NPI | 1083779904 |
---|---|
Provider Name | William Harold Wolfe |
First Address | Anderson, IN 46013 |
Second Address | Anderson, IN 46016-4337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2006 |
Last Update Date | 17/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01046449B | CSR (01) | IN |
BW4397952 | DEA (01) | IN |
CK6957 | RAILROAD GROUP (01) | IN |
GO1164 | (02) | IA |
P00422317 | RAILROAD INDIVIDUAL (01) | IN |