Wahl, William Brent

Wahl, William Brent is an individual health care provider with primary practice located at 11600 West 2Nd Place , Lakewood CO 80228. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Wahl, William Brent can be contacted via phone (720) 321-0000.

Contact Information

Primary practice address
11600 West 2Nd Place Lakewood CO 80228
Phone: (720) 321-0000
Fax: (720) 321-1621
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 32653 Colorado
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DR.0032653 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0032653 Colorado

Profile Details

NPI number 1407884737
LBN Legal business name Wahl, William Brent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Nov 18th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407884737 NPPES
Colorado MEDICAID 01326537
Colorado Other 300049148

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