Wildner, Ralf G
Wildner, Ralf G is an sole proprietor health care provider with primary practice located at 500 School St , Clarks Summit PA 18411-1508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wildner, Ralf G can be contacted via phone (570) 586-3587.Contact Information
Primary practice address
500 School St
Clarks Summit PA 18411-1508
Phone: (570) 586-3587
Fax: (570) 586-0337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD060289L | Pennsylvania |
Profile Details
| NPI number | 1093774986 |
|---|---|
| LBN Legal business name | Wildner, Ralf G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Oct 28th, 2008 - 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 | 1093774986 | NPPES |
| Pennsylvania | MEDICAID | 101359647 |
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