Wikholm, Richard P

Wikholm, Richard P is an individual health care provider with primary practice located at 116 S Palisade Dr Ste 206, Santa Maria CA 93454-8904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Wikholm, Richard P can be contacted via phone (805) 614-9250.

Contact Information

Primary practice address
116 S Palisade Dr Ste 206 Santa Maria CA 93454-8904
Phone: (805) 614-9250
Fax: (805) 614-9260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G55811 California

Profile Details

NPI number 1831198647
LBN Legal business name Wikholm, Richard P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Oct 1st, 2009 - 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 1831198647 NPPES
California MEDICAID 00G558110

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