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Contact Information

PAUL L WOLF, DDS
601 W US HIGHWAY 30
SCHERERVILLE, IN46375-2656
 Phone: 219-322-0501
 Fax: 219-322-0577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for PAUL L WOLF · (Male)

NPI # 1346221108
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/09/2005
Last updated 11/26/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 12010083
  • IN License # 12010083A
  • IN Medicaid 200196800
  • IN Other 000000084422 BC BS PROVIDER PIN NUMBER
  • IN Other P00111143 RAILROAD MEDICARE NUMBER
  • IN Other 986521 UNITED CONCORDIA NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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