Wilder, Robert Edward

Wilder, Robert Edward is an sole proprietor health care provider with primary practice located at 11924 San Jose Blvd , Jacksonville FL 32223-1840. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Wilder, Robert Edward can be contacted via phone (904) 866-1556.

Contact Information

Primary practice address
11924 San Jose Blvd Jacksonville FL 32223-1840
Phone: (904) 866-1556
Fax: (904) 287-7576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT 0001634 Florida

Profile Details

NPI number 1710999537
LBN Legal business name Wilder, Robert Edward
Credentials M.DIV., M.ED.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2006
Last updated Jan 11th, 2008 - about 16 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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