Wilde, Ilan E

Wilde, Ilan E is an individual health care provider with primary practice located at 518 W 1St Ave , Toppenish WA 98948-1564. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wilde, Ilan E can be contacted via phone (509) 865-5600.

Contact Information

Primary practice address
518 W 1St Ave Toppenish WA 98948-1564
Phone: (509) 865-5600
Fax: (509) 865-5783
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004580 Georgia

Profile Details

NPI number 1265489801
LBN Legal business name Wilde, Ilan E
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Aug 6th, 2014 - 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.

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