Wilde, David

Wilde, David is an sole proprietor health care provider with primary practice located at 914 Mission Ave 3Rd Floor, San Rafael CA 94901-6106. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wilde, David can be contacted via phone (415) 457-6964.

Contact Information

Primary practice address
914 Mission Ave 3Rd Floor San Rafael CA 94901-6106
Phone: (415) 457-6964
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1013182658
LBN Legal business name Wilde, David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2008
Last updated Apr 24th, 2008 - about 16 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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