Wilder, Robert Brent

Wilder, Robert Brent is an sole proprietor health care provider with primary practice located at 18697 Bagley Rd , Middleburg Heights OH 44130-3417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wilder, Robert Brent can be contacted via phone (440) 816-8000.

Contact Information

Primary practice address
18697 Bagley Rd Middleburg Heights OH 44130-3417
Phone: (440) 816-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35042804W Ohio

Profile Details

NPI number 1083654198
LBN Legal business name Wilder, Robert Brent
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated May 27th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083654198 NPPES
Ohio MEDICAID 0427710
Ohio Other 942460636082
Ohio Other P00221626

Popular Providers