Provider Demographics
NPI:1669553756
Name:WOLFE, GINGER W (DC)
Entity type:Individual
Prefix:DR
First Name:GINGER
Middle Name:W
Last Name:WOLFE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:GINGER
Other - Middle Name:WOLFE
Other - Last Name:GUTHRIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:933 ALPINE AVE.
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304
Mailing Address - Country:US
Mailing Address - Phone:303-447-2225
Mailing Address - Fax:303-447-2226
Practice Address - Street 1:933 ALPINE AVE.
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304
Practice Address - Country:US
Practice Address - Phone:303-447-2225
Practice Address - Fax:303-447-2226
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03482111N00000X
COCHR0005029111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD431PMedicare PIN