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
Phone: (440) 446-9696
Fax: (440) 449-1435
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194769802 | NPPES |
| Ohio | MEDICAID | 0690748 |
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