Wilder, Norman James

Wilder, Norman James is an individual health care provider with primary practice located at 10201 Sidorof Lane , Anchorage AK 99507-6420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Wilder, Norman James can be contacted via phone (907) 770-2380.

Contact Information

Primary practice address
10201 Sidorof Lane Anchorage AK 99507-6420
Fax: (907) 770-2341
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 1519 Alaska

Profile Details

NPI number 1700846003
LBN Legal business name Wilder, Norman James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jan 5th, 2012 - about 13 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 1700846003 NPPES
Alaska MEDICAID MD1519

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