Wild, Dorothea
Wild, Dorothea is an individual health care provider with primary practice located at 130 Division St , Derby CT 06418-1326. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wild, Dorothea can be contacted via phone (203) 732-7325.Contact Information
Primary practice address
130 Division St
Derby CT 06418-1326
Phone: (203) 732-7325
Fax: (203) 732-1539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 040387 | Connecticut |
Profile Details
| NPI number | 1912989187 |
|---|---|
| LBN Legal business name | Wild, Dorothea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Dec 15th, 2010 - 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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