Wilde, Benjamin B
Wilde, Benjamin B is an individual health care provider with primary practice located at 1405 Howell , Worland WY 82401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilde, Benjamin B can be contacted via phone (307) 347-2555.Contact Information
Primary practice address
1405 Howell
Worland WY 82401
Phone: (307) 347-2555
Fax: (307) 347-9831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 8661A | Wyoming |
Profile Details
| NPI number | 1295997013 |
|---|---|
| LBN Legal business name | Wilde, Benjamin B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2008 |
| Last updated | Dec 19th, 2013 - about 11 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 | 1295997013 | NPPES |
| Wyoming | MEDICAID | 1295997013 |
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