Wildman, Hal E

Wildman, Hal E is an sole proprietor health care provider with primary practice located at 6700 Beta Dr Suite 301, Cleveland OH 44143-2363. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Wildman, Hal E can be contacted via phone (440) 446-9696.

Contact Information

Primary practice address
6700 Beta Dr Suite 301 Cleveland OH 44143-2363
Fax: (440) 449-1435
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3846 Ohio

Profile Details

NPI number 1194769802
LBN Legal business name Wildman, Hal E
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Aug 23rd, 2007 - about 17 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 1194769802 NPPES
Ohio MEDICAID 0690748

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