National Provider Identifier Database

BRADLEY R WILDE, D.C. – NPI #1194895748
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

BRADLEY R WILDE, D.C.
801 ROBERTSON AVE
WORLAND, WY82401-2717
Phone: 307-347-4224
Fax: 307-347-4240
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BRADLEY R WILDE

NPI Number 1194895748
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 11/09/2006
Last updated 04/10/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • WY License #: 379
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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