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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831198647 | NPPES |
| California | MEDICAID | 00G558110 |
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