Wilde, Matthew Thomas
Wilde, Matthew Thomas is an sole proprietor health care provider with primary practice located at 101 Bodin Cir David Grant Medical Center Dept Of Anesthesia, Travis Afb CA 94535-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Wilde, Matthew Thomas can be contacted via phone (707) 423-2355.Contact Information
Primary practice address
101 Bodin Cir David Grant Medical Center Dept Of Anesthesia
Travis Afb CA 94535-1809
Phone: (707) 423-2355
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A188085 | California |
Profile Details
| NPI number | 1821296518 |
|---|---|
| LBN Legal business name | Wilde, Matthew Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2007 |
| Last updated | Mar 31st, 2017 - about 8 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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