Wilder, Gloria Annonet
Wilder, Gloria Annonet is an sole proprietor health care provider with primary practice located at 2516 Sheridan Rd Se Ste A , Washington DC 20020-5265. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wilder, Gloria Annonet can be contacted via phone (202) 610-6106.Contact Information
Primary practice address
2516 Sheridan Rd Se Ste A
Washington DC 20020-5265
Phone: (202) 610-6106
Fax: (202) 610-6107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101055487 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD21918 | District of Columbia |
Profile Details
| NPI number | 1083758056 |
|---|---|
| LBN Legal business name | Wilder, Gloria Annonet |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Jun 8th, 2023 - about 3 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 | 1083758056 | NPPES |
| District of Columbia | MEDICAID | 0294657 00 | |
| District of Columbia | MEDICAID | 6704701 |
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