Wise, Arnold B
Wise, Arnold B is an sole proprietor health care provider with primary practice located at 1009 Spruce St , Espanola NM 87532-2740. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wise, Arnold B can be contacted via phone (505) 747-4144.Contact Information
Primary practice address
1009 Spruce St
Espanola NM 87532-2740
Phone: (505) 747-4144
Fax: (505) 747-3213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 98-200 | New Mexico |
Profile Details
| NPI number | 1801905377 |
|---|---|
| LBN Legal business name | Wise, Arnold B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1801905377 | NPPES |
| New Mexico | MEDICAID | S6084 |
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