Wildern, Steven George
Wildern, Steven George is an individual health care provider with primary practice located at 1005 W Green St Rm 301, Hastings MI 49058-1729. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wildern, Steven George can be contacted via phone (269) 945-2419.Contact Information
Primary practice address
1005 W Green St Rm 301
Hastings MI 49058-1729
Phone: (269) 945-2419
Fax: (269) 945-0357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | SW039857 | Michigan |
Profile Details
| NPI number | 1144224700 |
|---|---|
| LBN Legal business name | Wildern, Steven George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Dec 16th, 2016 - about 10 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 | 1144224700 | NPPES |
| Michigan | Other | CN0332 | PALMETTO GBA RAILROAD |
| Michigan | MEDICAID | 1340544 | PALMETTO GBA RAILROAD |
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