National Provider Identifier Database

WOLFE FAMILY MEDICAL CLINIC PLLC
Rural Health


Contact Information

WOLFE FAMILY MEDICAL CLINIC PLLC
203 E WALNUT ST
CHARLESTON, MS38921
Phone: 662-647-0900
Fax: 662-647-0938
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for WOLFE FAMILY MEDICAL CLINIC PLLC

NPI Number 1316152010
Legal business name
LBN
WOLFE FAMILY MEDICAL CLINIC PLLC
Authorized official CARLENE WOLFE - (NURSE PRACTITIONER OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/14/2007
Last updated 03/31/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Medicaid: 08184344

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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