Wilde, Paul Michael

Wilde, Paul Michael is an individual health care provider with primary practice located at 550 Pope Ave , Fort Leavenworth KS 66027-2332. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Wilde, Paul Michael can be contacted via phone (913) 684-6198.

Contact Information

Primary practice address
550 Pope Ave Fort Leavenworth KS 66027-2332
Phone: (913) 684-6198
Fax: (913) 684-6128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1002775 NCCPA Georgia

Profile Details

NPI number 1558361535
LBN Legal business name Wilde, Paul Michael
Credentials PA-C, SC.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jul 8th, 2007 - about 18 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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