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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 Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BRADLEY R WILDE · (Male)

NPI Number 1194895748
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 11/09/2006
Last updated 04/10/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • WY License # 379
Hospital affiliation(s) Not Available
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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