Wilber, Richard

Wilber, Richard is an sole proprietor health care provider with primary practice located at 1165 Montgomery Dr Pathology Dept, Santa Rosa CA 95405-4801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Wilber, Richard can be contacted via phone (209) 575-4575.

Contact Information

Primary practice address
1165 Montgomery Dr Pathology Dept Santa Rosa CA 95405-4801
Phone: (209) 575-4575
Fax: (209) 575-4598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G34845 California

Profile Details

NPI number 1932166394
LBN Legal business name Wilber, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2006
Last updated Jan 29th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932166394 NPPES
California MEDICAID 00G348450

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