Wildenhain, Philip

Wildenhain, Philip is an individual health care provider with primary practice located at 155 Wilson Ave , Washington PA 15301-3336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wildenhain, Philip can be contacted via phone (724) 225-7000.

Contact Information

Primary practice address
155 Wilson Ave Washington PA 15301-3336
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD039561E Pennsylvania

Profile Details

NPI number 1679571947
LBN Legal business name Wildenhain, Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679571947 NPPES
Pennsylvania MEDICAID 0014059250001
Pennsylvania MEDICAID 2627330

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