Wilder, Jason Edward

Wilder, Jason Edward is an individual health care provider with primary practice located at 1504 Hardeman Ave Suite B, Macon GA 31201-1416. He recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Radiography, Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging. Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist is his primary health care specialty. Wilder, Jason Edward can be contacted via phone (478) 745-3135.

Contact Information

Primary practice address
1504 Hardeman Ave Suite B Macon GA 31201-1416
Phone: (478) 745-3135
Fax: (478) 745-3136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 330869
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X 330869
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X 330869

Profile Details

NPI number 1922019355
LBN Legal business name Wilder, Jason Edward
Credentials R, MR
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 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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