Wilde, Gustav C
Wilde, Gustav C is an individual health care provider with primary practice located at 161 Iotla Street , Franklin NC 28734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilde, Gustav C can be contacted via phone (828) 369-4244.Contact Information
Primary practice address
161 Iotla Street
Franklin NC 28734
Phone: (828) 369-4244
Fax: (828) 349-6767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 32974 | North Carolina |
Profile Details
| NPI number | 1356395081 |
|---|---|
| LBN Legal business name | Wilde, Gustav C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Apr 25th, 2018 - about 7 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 | 1356395081 | NPPES |
| North Carolina | Other | 51937 | MEDCOST |
| North Carolina | MEDICAID | 8987403 | MEDCOST |
| North Carolina | Other | 87403 | MEDCOST |
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