Wildin, Robert S.

Wildin, Robert S. is an sole proprietor health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as his primary health care specialty. Wildin, Robert S. can be contacted via phone (802) 847-0000.

Contact Information

Primary practice address
111 Colchester Ave Burlington VT 05401-1473
Phone: (802) 847-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MD20420 Oregon
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 042-0013813 Vermont
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X M8801 Idaho

Profile Details

NPI number 1073586897
LBN Legal business name Wildin, Robert S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2006
Last updated May 24th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073586897 NPPES
Washington MEDICAID 8140428
Washington MEDICAID 002823400
Washington MEDICAID 085514

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