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Contact Information

JONATHAN WOLKWITZ, PA
116 E. 2ND
DEXTER, NM88230
 Phone: 575-734-5817
 Fax: 575-734-6550
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JONATHAN WOLKWITZ · (Male)

NPI # 1831186303
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/30/2005
Last updated 09/15/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 96-PA22
  • NM Medicaid 79336213
Hospital affiliation(s)
  • EASTERN NEW MEXICO MEDICAL CENTER - (Acute Care)
    405 W COUNTRY CLUB ROAD
    ROSWELL, NM 88201
  • LOVELACE REGIONAL HOSPITAL - ROSWELL - (Acute Care)
    117 EAST 19TH STREET
    ROSWELL, NM 88201
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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