Wildes, Daniel E
Wildes, Daniel E is an individual health care provider with primary practice located at 802 S Jackson Ave Ste 225 , Tulsa OK 74127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wildes, Daniel E can be contacted via phone (918) 582-7711.Contact Information
Primary practice address
802 S Jackson Ave Ste 225
Tulsa OK 74127
Phone: (918) 582-7711
Fax: (918) 583-5831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4168 | Oklahoma |
Profile Details
| NPI number | 1932163565 |
|---|---|
| LBN Legal business name | Wildes, Daniel E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Feb 12th, 2019 - about 7 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 | 1932163565 | NPPES |
| Oklahoma | MEDICAID | 200031260B | |
| Oklahoma | Other | 456078YM2Y |
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