Wilde, Tobias Allen
Wilde, Tobias Allen is an sole proprietor health care provider with primary practice located at 4422 30Th Ave S Apt 309 , Fargo ND 58104-8441. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wilde, Tobias Allen can be contacted via phone (801) 548-8535.Contact Information
Primary practice address
4422 30Th Ave S Apt 309
Fargo ND 58104-8441
Phone: (801) 548-8535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 5797 | North Dakota |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 24970 | Minnesota |
Profile Details
| NPI number | 1770866485 |
|---|---|
| LBN Legal business name | Wilde, Tobias Allen |
| Credentials | MSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2011 |
| Last updated | Feb 19th, 2024 - about 7 months 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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