Wilder, Andrew James
Wilder, Andrew James is an individual health care provider with primary practice located at 401 N 9Th St , Bismarck ND 58501-4530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wilder, Andrew James can be contacted via phone (701) 712-4251.Contact Information
Primary practice address
401 N 9Th St
Bismarck ND 58501-4530
Phone: (701) 712-4251
Fax: (701) 712-4272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 8224 | North Dakota |
Profile Details
| NPI number | 1275607509 |
|---|---|
| LBN Legal business name | Wilder, Andrew James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jun 6th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275607509 | NPPES |
| North Dakota | MEDICAID | 1459441 |
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