Wigle, Richard Lee
Wigle, Richard Lee is an individual health care provider with primary practice located at 1501 Kings Hwy , Shreveport LA 71103-4228. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Wigle, Richard Lee can be contacted via phone (318) 675-5000.Contact Information
Primary practice address
1501 Kings Hwy
Shreveport LA 71103-4228
Phone: (318) 675-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G1230 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G28185 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25673 | North Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 9525 | Mississippi |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 15769 | South Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 33847 | Minnesota |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 98-198 | New Mexico |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 025209 | Washington |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M7531 | Idaho |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 05539R | Louisiana |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 50898 | Wisconsin |
Profile Details
| NPI number | 1295759850 |
|---|---|
| LBN Legal business name | Wigle, Richard Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 30th, 2012 - about 14 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 | 1295759850 | NPPES |
| Louisiana | MEDICAID | 1032824 | |
| Louisiana | Other | 4K995F600 |
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