Provider Demographics
NPI:1780626994
Name:WOLFE, EDWARD FX (DC)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:FX
Last Name:WOLFE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8001 RAINTREE LANE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-8918
Mailing Address - Country:US
Mailing Address - Phone:704-837-7131
Mailing Address - Fax:704-542-6552
Practice Address - Street 1:8001 RAINTREE LANE
Practice Address - Street 2:SUITE 100
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-8918
Practice Address - Country:US
Practice Address - Phone:704-837-7131
Practice Address - Fax:704-542-6552
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2946111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC085GGOtherBCBS OF NC
NC804246OtherPARTNERS MEDICARE
NC89085GGMedicaid
NC085GGOtherBCBS OF NC
NC89085GGMedicaid