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1568641017 NPI number — WOLFE MEDICAL INC.

NPI Number: 1568641017
Health Care Provider/Practitioner: WOLFE MEDICAL INC.

Information about “1568641017” NPI (WOLFE MEDICAL INC.) exists in 1568641017 in HTML format HTML  |  1568641017 in plain Text format TXT  |  1568641017 in PDF (Portable Document Format) PDF  |  1568641017 in an XML format XML  formats.

NPI Number : 1568641017 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568641017",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WOLFE MEDICAL INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9220 PARKWEST BLVD",
    "SecondLineMailingAddress": "SUITE 3",
    "MailingAddressCityName": "KNOXVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37923-4405",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "865-686-3650",
    "MailingAddressFaxNumber": "865-693-0206",
    "FirstLinePracticeLocationAddress": "9220 PARKWEST BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 3",
    "PracticeLocationAddressCityName": "KNOXVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37923-4405",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "865-686-3650",
    "PracticeLocationAddressFaxNumber": "865-693-0206",
    "EnumerationDate": "11/01/2007",
    "LastUpdateDate": "05/01/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WOLFE",
    "AuthorizedOfficialFirstName": "RANDALL",
    "AuthorizedOfficialMiddleName": "S.",
    "AuthorizedOfficialTitle": "PRESIDENT/OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "865-686-7670",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": "0000000527",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BX2000X",
          "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
          "LicenseNumber": "0000000527",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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