Provider Demographics
NPI:1568641017
Name:WOLFE MEDICAL INC.
Entity Type:Organization
Organization Name:WOLFE MEDICAL INC.
Other - Org Name:LAMBERT'S SLEEP CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:S
Authorized Official - Last Name:WOLFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-686-7670
Mailing Address - Street 1:9220 PARKWEST BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4405
Mailing Address - Country:US
Mailing Address - Phone:865-686-3650
Mailing Address - Fax:865-693-0206
Practice Address - Street 1:9220 PARKWEST BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4405
Practice Address - Country:US
Practice Address - Phone:865-686-3650
Practice Address - Fax:865-693-0206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000527332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0401640005Medicare NSC