Wilder, Christopher Robin
Wilder, Christopher Robin is an sole proprietor health care provider with primary practice located at 2304 Marketplace Dr , Waco TX 76711-2467. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wilder, Christopher Robin can be contacted via phone (254) 202-7300.Contact Information
Primary practice address
2304 Marketplace Dr
Waco TX 76711-2467
Phone: (254) 202-7300
Fax: (254) 202-7350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 10850 | Texas |
Profile Details
| NPI number | 1588033849 |
|---|---|
| LBN Legal business name | Wilder, Christopher Robin |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2015 |
| Last updated | Sep 1st, 2020 - about 6 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 | 1588033849 | NPPES |
| Texas | Other | 1588033849 | NPPES |
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