Wildes, Michael
Wildes, Michael is an individual health care provider with primary practice located at 8381 Southpark Ln , Littleton CO 80120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wildes, Michael can be contacted via phone (303) 730-0404.Contact Information
Primary practice address
8381 Southpark Ln
Littleton CO 80120
Phone: (303) 730-0404
Fax: (303) 730-6163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | DR.0060178 | Colorado |
Profile Details
| NPI number | 1396163929 |
|---|---|
| LBN Legal business name | Wildes, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2014 |
| Last updated | Sep 3rd, 2021 - about 4 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 | 1396163929 | NPPES |
| Colorado | MEDICAID | 90000131597 |
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