Wild, Christopher Robert

Wild, Christopher Robert is an sole proprietor health care provider with primary practice located at 4802 S. 109Th E. Ave , Tusla OK 74146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wild, Christopher Robert can be contacted via phone (918) 392-1513.

Contact Information

Primary practice address
4802 S. 109Th E. Ave Tusla OK 74146
Phone: (918) 392-1513
Fax: (918) 392-1590
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35.131283 Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 37775 Oklahoma

Profile Details

NPI number 1356696595
LBN Legal business name Wild, Christopher Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2012
Last updated Mar 30th, 2023 - about 2 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 1356696595 NPPES
Oklahoma MEDICAID 200974040A

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