Most Relevant Information
Provider Data
| NPI Number: | 1003684648 |
| Provider Name: | JACOB R WOLFE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/13/2023 |
| Last Updated: | 12/13/2023 |
Provider Practice Location
6400 E BROAD ST
COLUMBUS
OH
432132086
Practice Location Phone/Fax
| Phone: | 6146553345 |
| Fax: |
Provider Mailing Location
6400 E BROAD ST
COLUMBUS
OH
432132086
Provider Mailing Phone/Fax
| Phone: | 6146553345 |
| Fax: |