Wildstein, Albert
Wildstein, Albert is an sole proprietor health care provider with primary practice located at 2675 N Decatur Rd Suite 210, Decatur GA 30033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Wildstein, Albert can be contacted via phone (404) 292-5938.Contact Information
Primary practice address
2675 N Decatur Rd Suite 210
Decatur GA 30033
Phone: (404) 292-5938
Fax: (404) 292-3291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | D31372 | Georgia |
Profile Details
| NPI number | 1972571107 |
|---|---|
| LBN Legal business name | Wildstein, Albert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Sep 2nd, 2010 - about 14 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 | 1972571107 | NPPES |
| Georgia | MEDICAID | 00178329G |
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