Wild, Marc William
Wild, Marc William is an sole proprietor health care provider with primary practice located at 1104 5Th Ave , Huntington WV 25701-2205. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wild, Marc William can be contacted via phone (304) 523-8671.Contact Information
Primary practice address
1104 5Th Ave
Huntington WV 25701-2205
Phone: (304) 523-8671
Fax: (304) 523-8674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2466 | West Virginia |
Profile Details
| NPI number | 1912916180 |
|---|---|
| LBN Legal business name | Wild, Marc William |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1912916180 | NPPES |
| West Virginia | MEDICAID | 0136461000 |
Popular Providers
-
Hall, James Thomas
2547 Third Avenue , Huntington WV 25703-1642 -
Burnett, Paul Harmon
1402 3Rd Avenue , Huntington WV 25701 -
Woodruff, Judith R
1319 Hal Greer Blvd , Huntington WV 25701-3803 -
Grimes, William Lloyd
1125 20Th St , Huntington WV 25703-2021 -
Sisson, Charles W
724 9Th Ave , Huntington WV 25701-2719 -
Edmonds, Scott
5187 Route 60 East 10, Huntington WV 25705 -
Howerton, Stephen Earl
3011 Piedmont Rd , Huntington WV 25704-2732 -
Opimo, Reginald S
2519 3Rd Ave , Huntington WV 25703-1614