Wilder, W Mitchell
Wilder, W Mitchell is an individual health care provider with primary practice located at 503 Mcmillan Rd Radiology Department, West Monroe LA 71291-5327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wilder, W Mitchell can be contacted via phone (318) 388-2646.Contact Information
Primary practice address
503 Mcmillan Rd Radiology Department
West Monroe LA 71291-5327
Phone: (318) 388-2646
Fax: (318) 388-2843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD018998 | Louisiana |
Profile Details
| NPI number | 1730120312 |
|---|---|
| LBN Legal business name | Wilder, W Mitchell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jun 16th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730120312 | NPPES |
| Louisiana | MEDICAID | 1915785 |
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