RICHARD EUGENE WOLF JR.


Address: 18857 Curtis Blacktop Rd, Petersburg, IL 62675-7013
Phone: 2172997461

RICHARD EUGENE WOLF JR. (NPI# 1376049361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376049361
Entity Type Individual
Full Name RICHARD EUGENE WOLF JR.
Practice Address 18857 Curtis Blacktop Rd
Petersburg
IL 62675-7013
Practice Telephone 2172997461
Mailing Telephone 2172997461
Enumeration Date 2018-03-30
Last Update Date 2018-03-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 347C00000X Private Vehicle IL Transportation Services

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Office Location

Street Address 18857 CURTIS BLACKTOP RD
City PETERSBURG
State IL
Zip Code 62675-7013

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962519405 Porta Comm. Unit District 202 Local Education Agency (LEA) 17651 Bluejay Road, Petersburg, IL 62675 2006-08-23
1295704021 Menard County Health Department Home Health 1120 N 4th, Suite A, Petersburg, IL 62675 2006-03-15
1720035611 Menard Convalescent Center, Inc Skilled Nursing Facility 120 W Antle St, Petersburg, IL 62675-1035 2006-05-27
1003068776 Menard Convalescent Center, Inc Skilled Nursing Facility 120 W Antle St, Petersburg, IL 62675-1035 2008-10-14
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1922478916 Ashleigh Renee Smith Private Vehicle 703 N 7th St, Petersburg, IL 62675-1144 2015-10-02
1952872269 Abbey Lynn Venturini Social Worker 323 W Rutledge St, Petersburg, IL 62675-1239 2018-12-12
1285936872 Donald P. Hartman Dentist 213 N 5th, Petersburg, IL 62675-1303 2010-12-02
1114197514 Paul Douglas Davis Dentist 213 N 5th St, Petersburg, IL 62675-1303 2008-03-03
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Taxonomy Information

Taxonomy Code 347C00000X
Grouping Transportation Services
Classification Private Vehicle

Taxonomy Definition

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1922478916 Ashleigh Renee Smith Private Vehicle 703 N 7th St, Petersburg, IL 62675-1144 2015-10-02
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Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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Competitor

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City PETERSBURG
Zip Code 62675

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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