Wise, Richard C
Wise, Richard C is an individual health care provider with primary practice located at 430 Windward Way Suite 101, Kalispell MT 59901-2619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wise, Richard C can be contacted via phone (406) 752-8433.Contact Information
Primary practice address
430 Windward Way Suite 101
Kalispell MT 59901-2619
Phone: (406) 752-8433
Fax: (406) 756-6768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4201 | Montana |
Profile Details
| NPI number | 1851344808 |
|---|---|
| LBN Legal business name | Wise, Richard C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jan 5th, 2012 - about 12 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 | 1851344808 | NPPES |
| Montana | Other | 11670 | BLUE CROSS |
| Montana | MEDICAID | 98107 | BLUE CROSS |
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