Wild, Carolyn A

Wild, Carolyn A is an sole proprietor health care provider with primary practice located at 4545 Point Fosdick Dr # 215 , Gig Harbor WA 98335-1700. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Wild, Carolyn A can be contacted via phone (253) 530-8060.

Contact Information

Primary practice address
4545 Point Fosdick Dr # 215 Gig Harbor WA 98335-1700
Phone: (253) 530-8060
Fax: (253) 530-8062
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X MD60112482 Washington
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 60112482 Washington
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD60112482 Washington
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD60112482 Washington

Profile Details

NPI number 1871581041
LBN Legal business name Wild, Carolyn A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated Feb 23rd, 2021 - about 4 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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