Hosmer, Wylie David

Hosmer, Wylie David is an individual health care provider with primary practice located at 55 Meriden Ave Ste 1A , Southington CT 06489-3237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Hosmer, Wylie David can be contacted via phone (860) 621-9316.

Contact Information

Primary practice address
55 Meriden Ave Ste 1A Southington CT 06489-3237
Fax: (860) 620-5526
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 048427 Connecticut

Profile Details

NPI number 1720136757
LBN Legal business name Hosmer, Wylie David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 16th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720136757 NPPES
California MEDICAID 00A937780

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