Dr. Dale Wickstrom-Hill Pa
LBN: Dr. Dale Wickstrom-Hill Pa
Dr. Dale Wickstrom-Hill Pa is an health care organization with primary practice located at 200 Avenue F Ne , Winter Haven FL 33881-4131. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty.
Dr. Dale Wickstrom-Hill Pa can be contacted via phone (352) 867-8898, or through Wickstrom-Hill, Dale via phone (352) 867-8898.
Contact Information
Primary practice address
200 Avenue F Ne
Winter Haven FL 33881-4131
Phone: (352) 867-8898
Fax: (352) 732-6282
Website:
Authorized official contact:
Name: Wickstrom-Hill, Dale Doctor of Osteopathy (DO)
Phone: (352) 867-8898
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | OS0006374 | Florida |
Profile Details
| NPI number | 1174621114 |
|---|---|
| LBN Legal business name | Dr. Dale Wickstrom-Hill Pa |
| DBA Doing business as | |
| Authorized official | Wickstrom-Hill, Dale Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Apr 11th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174621114 | NPPES |
| Florida | Other | 050066689 | RAILROAD MEDICARE |
| Florida | Other | 80933 | RAILROAD MEDICARE |
| Florida | MEDICAID | 003632900 | RAILROAD MEDICARE |
| Florida | MEDICAID | 269252000 | RAILROAD MEDICARE |
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