Wildi, Jonathan Douglas

Wildi, Jonathan Douglas is an individual health care provider with primary practice located at 1 Boone Rd , Bremerton WA 98312-1894. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Wildi, Jonathan Douglas can be contacted via phone (360) 475-4339.

Contact Information

Primary practice address
1 Boone Rd Bremerton WA 98312-1894
Phone: (360) 475-4339
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1710298583
LBN Legal business name Wildi, Jonathan Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2010
Last updated Jun 28th, 2010 - about 15 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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