Douglas D. Wolfe, D.O., Inc.

Organization Active NPI Family Medicine Physician · Mannington, WV

NPI 1891892956 · NPPES record last updated Aug 5, 2010

Key facts

NPI
1891892956
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
DOUGLAS D. WOLFE, D.O., INC.
Practice address
800 E Main St
Suite B
Mannington, WV 26582-1215
Phone
(304) 986-2996
Fax
(304) 986-2998
NPI assigned
Sep 20, 2006
Organization subpart
No

Authorized official

Name
Douglas D Wolfe, D.O.
Title
Owner
Phone
(304) 986-2996

National Provider Directory

Locations

800 E Main St
Ste B
Mannington, WV 26582
Phone (304) 968-2996

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

800 E Main St
Suite B
Mannington, WV 26582-1215

Mailing address

800 E Main St
Suite B
Mannington, WV 26582-1215
Phone (304) 986-2996

Other identifiers

IdentifierTypeStateIssuer
0051821001MedicaidWV

Other providers in Mannington, WV

All providers in Mannington, WV · Family Medicine Physician in West Virginia

Sources for this page

Verify at the official NPI Registry.