Wilder, Elijah

Wilder, Elijah is an individual health care provider with primary practice located at 285 Bielby Rd , Lawrenceburg IN 47025-1055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Wilder, Elijah can be contacted via phone (812) 537-1302.

Contact Information

Primary practice address
285 Bielby Rd Lawrenceburg IN 47025-1055
Phone: (812) 537-1302
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 04444 Kentucky
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 34012700 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 02006180A Indiana

Profile Details

NPI number 1083976971
LBN Legal business name Wilder, Elijah
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2012
Last updated Apr 17th, 2023 - about 2 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 1083976971 NPPES
Indiana MEDICAID 300047738
Indiana MEDICAID 7100473760

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