Wise, Richard G
Wise, Richard G is an individual health care provider with primary practice located at 11 Sycamore Dr , New Middletown OH 44442-9754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wise, Richard G can be contacted via phone (330) 542-2881.Contact Information
Primary practice address
11 Sycamore Dr
New Middletown OH 44442-9754
Phone: (330) 542-2881
Fax: (330) 542-0074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34-003728 | Ohio |
Profile Details
| NPI number | 1386610236 |
|---|---|
| LBN Legal business name | Wise, Richard G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Nov 8th, 2007 - about 17 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 | 1386610236 | NPPES |
| Ohio | MEDICAID | 0598769 |
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