Wildgust, John David

Wildgust, John David is an individual health care provider with primary practice located at 935 Hunter Ln , Santa Rosa CA 95404-8717. He recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as his primary health care specialty. Wildgust, John David can be contacted via phone (707) 480-2030.

Contact Information

Primary practice address
935 Hunter Ln Santa Rosa CA 95404-8717
Phone: (707) 480-2030
Fax: (707) 588-9032
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 78261 California

Profile Details

NPI number 1013698232
LBN Legal business name Wildgust, John David
Credentials RN, MSN, PHN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2023
Last updated Jul 31st, 2023 - about 2 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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