Nicholas C Wild, MD
Family Medicine in Manchester Center, Vermont
1144714726- Practice location
- 5957 Vt-7a, Manchester Center, VT 05255
- Phone
- 802-362-4440
- Fax
- —
- Last updated
- July 21, 2021
Nicholas Charles Wild is a Family Medicine based in Manchester Center, VT. Nicholas Charles Wild practices in Manchester Center, VT and has the professional credentials of MD. The NPI Number for Nicholas Charles Wild is 1144714726 and holds a License No. MT215504 (PA). The current practice location address for Nicholas Charles Wild is 5957 Vt-7a, Manchester Center, VT 05255 and can be reached out via phone at 802-362-4440.
Provider Profile Details
- NPI Number
- 1144714726
- Provider Name
- Nicholas Charles Wild
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5957 Vt-7a, Manchester Center, VT 05255
- Phone Number
- 802-362-4440
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 18, 2018
- Last Update Date
- July 21, 2021
- Certification Date
- June 24, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5957 Vt-7a
Manchester Center, VT 05255 - State
- Vermont
- Zip
- 05255
- Phone Number
- 802-362-4440
Provider Business Mailing Address Details
- Address
- 5957 Vt-7a
Manchester Center, VT 05255 - City
- Manchester Center
- State
- VT
- Zip
- 05255
- Phone Number
- 802-362-4440
License Information
- License Number (1)
- MT215504
- License State (1)
- PA
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 042.0015274
- License State (2)
- VT
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Manchester Center, VT
View all Family Medicine providers in Manchester Center →Frequently Asked Questions
What is the NPI number of Nicholas C Wild, MD?
The NPI number of Nicholas C Wild, MD is 1144714726. It was assigned on June 18, 2018 and is currently active in the NPPES registry.
What is the specialty of Nicholas C Wild, MD?
Nicholas C Wild, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in PA under license number MT215504.
Where does Nicholas C Wild, MD practice?
The practice location is 5957 Vt-7a, Manchester Center, VT 05255. The office can be reached at 802-362-4440 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144714726 directly on the NPPES registry website.