Wilder, James Daniel

Wilder, James Daniel is an individual health care provider with primary practice located at 411 N Section St , Fairhope AL 36532-2634. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wilder, James Daniel can be contacted via phone (251) 990-3937.

Contact Information

Primary practice address
411 N Section St Fairhope AL 36532-2634
Phone: (251) 990-3937
Fax: (251) 990-9990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S-B26-TA-699 Alabama

Profile Details

NPI number 1386615961
LBN Legal business name Wilder, James Daniel
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Mar 20th, 2020 - about 4 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 1386615961 NPPES
Alabama MEDICAID WI009911416

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