Wilder, Jason Matthew

Wilder, Jason Matthew is an individual health care provider with primary practice located at 160 Hawley Ln Suite 104, Trumbull CT 06611-5300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Wilder, Jason Matthew can be contacted via phone (203) 377-0639.

Contact Information

Primary practice address
160 Hawley Ln Suite 104 Trumbull CT 06611-5300
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 039925 Connecticut

Profile Details

NPI number 1952327629
LBN Legal business name Wilder, Jason Matthew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 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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