# DOUGLAS D. WOLFE, D.O., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891892956
- **Authorized official:** DOUGLAS D WOLFE D.O. (OWNER)
- **Authorized official phone:** (304) 986-2996

## Contact information

- **Practice address:** 800 E MAIN ST, SUITE B, MANNINGTON, WV 26582-1215
- **Practice address phone:** (304) 986-2996
- **Practice address fax:** (304) 986-2998
- **Mailing address:** 800 E MAIN ST, SUITE B, MANNINGTON, WV 26582-1215
- **Mailing address phone:** (304) 986-2996
- **Mailing address fax:** (304) 986-2998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/05/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0051821001 | — | WV |