Wilde, Roger Kenneth
Wilde, Roger Kenneth is an sole proprietor health care provider with primary practice located at 5704 Thunder Rd , Sebring FL 33876-5400. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wilde, Roger Kenneth can be contacted via phone (863) 414-3970.Contact Information
Primary practice address
5704 Thunder Rd
Sebring FL 33876-5400
Phone: (863) 414-3970
Fax: (863) 655-4978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY2692 | Florida |
Profile Details
| NPI number | 1356427181 |
|---|---|
| LBN Legal business name | Wilde, Roger Kenneth |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jan 27th, 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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