Wilder, James Daniel
Wilder, James Daniel is an individual health care provider with primary practice located at 411 N Section St , Fairhope AL 36532-2634. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wilder, James Daniel can be contacted via phone (251) 990-3937.Contact Information
Primary practice address
411 N Section St
Fairhope AL 36532-2634
Phone: (251) 990-3937
Fax: (251) 990-9990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S-B26-TA-699 | Alabama |
Profile Details
| NPI number | 1386615961 |
|---|---|
| LBN Legal business name | Wilder, James Daniel |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Mar 20th, 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 | 1386615961 | NPPES |
| Alabama | MEDICAID | WI009911416 |
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