Individual
DR. JOHN E WOLFGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1028 CENTRE STREET, ASHLAND, PA 17921
(570) 875-1125
Mailing address
519 N 4TH ST, CATAWISSA, PA 17820-1009
(570) 356-7747
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007956L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001938398 0001
—
PA
01
—
02856500
CAPITOL BLUE CROSS #
PA
01
—
07781457
MEDICAID CROSSOVER
PA
Enumeration date
10/20/2006
Last updated
07/08/2007
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