Wilk, Richard Michael

Wilk, Richard Michael is an individual health care provider with primary practice located at 75 Francis St , Boston MA 02115-6110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Wilk, Richard Michael can be contacted via phone (617) 732-5352.

Contact Information

Primary practice address
75 Francis St Boston MA 02115-6110
Phone: (617) 732-5352
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 75579 Massachusetts

Profile Details

NPI number 1598864449
LBN Legal business name Wilk, Richard Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jun 23rd, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598864449 NPPES
Massachusetts MEDICAID 110049810A

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