Dr. Wickizer

LBN: Boyd R Wickizer Md Llc
Dr. Wickizer is an health care organization with primary practice located at 2802 Otterdale Rd , Midlothian VA 23112-5408. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Boyd R Wickizer Md Llc can be contacted via phone (804) 938-0264, or through Wickizer, Boyd R via phone (804) 938-0264.

Contact Information

Primary practice address
2802 Otterdale Rd Midlothian VA 23112-5408
Phone: (804) 938-0264
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wickizer, Boyd R Doctor of Medicine (MD)
Phone: (804) 938-0264

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 0101047692 Virginia

Profile Details

NPI number 1710408117
LBN Legal business name Boyd R Wickizer Md Llc
DBA Doing business as Dr. Wickizer
Authorized official Wickizer, Boyd R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2017
Last updated Jul 6th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710408117 NPPES
Virginia MEDICAID 1750330353

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