Wilder, Elijah
Wilder, Elijah is an individual health care provider with primary practice located at 41877 Enterprise Cir N Ste 200 , Temecula CA 92590-5628. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wilder, Elijah can be contacted via phone (909) 755-0585.Contact Information
Primary practice address
41877 Enterprise Cir N Ste 200
Temecula CA 92590-5628
Phone: (909) 755-0585
Fax: (951) 228-9267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 02006180A | Indiana |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 20A22919 | California |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 34012700 | Ohio |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 04444 | Kentucky |
Profile Details
| NPI number | 1083976971 |
|---|---|
| LBN Legal business name | Wilder, Elijah |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2012 |
| Last updated | Sep 22nd, 2026 - about 2 months 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 | 1083976971 | NPPES |
| Indiana | MEDICAID | 300047738 | |
| Indiana | MEDICAID | 7100473760 |
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