Wilde, Mary K.
Wilde, Mary K. is an sole proprietor health care provider with primary practice located at 9850 Genesee Ave Ste 510 , La Jolla CA 92037-1213. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wilde, Mary K. can be contacted via phone (858) 623-2345.Contact Information
Primary practice address
9850 Genesee Ave Ste 510
La Jolla CA 92037-1213
Phone: (858) 623-2345
Fax: (858) 623-2343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G65602 | California |
Profile Details
| NPI number | 1508901810 |
|---|---|
| LBN Legal business name | Wilde, Mary K. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Nov 28th, 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.
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