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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1083976971 | NPPES |
| Indiana | MEDICAID | 300047738 | |
| Indiana | MEDICAID | 7100473760 |
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