Wildwood, Robert Earl

Wildwood, Robert Earl is an individual health care provider with primary practice located at 935 Kenwood Ave , Duluth MN 55811-4951. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Wildwood, Robert Earl can be contacted via phone (218) 396-3787.

Contact Information

Primary practice address
935 Kenwood Ave Duluth MN 55811-4951
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 822435 Minnesota

Profile Details

NPI number 1639845795
LBN Legal business name Wildwood, Robert Earl
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2021
Last updated Aug 19th, 2021 - about 3 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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