Wildt, Erin A
Wildt, Erin A is an individual health care provider with primary practice located at 1325 Belcher Rd Ste A , Palm Harbor FL 34683-6739. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Wildt, Erin A can be contacted via phone (727) 547-4700.Contact Information
Primary practice address
1325 Belcher Rd Ste A
Palm Harbor FL 34683-6739
Phone: (727) 547-4700
Fax: (727) 394-8661
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1142 | South Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 9107208 | Florida |
Profile Details
NPI number | 1134219470 |
---|---|
LBN Legal business name | Wildt, Erin A |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 16th, 2006 |
Last updated | Mar 30th, 2022 - about 2 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 | 1134219470 | NPPES |
South Carolina | Other | P00371588 | MEDICARE RAILROAD |
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