Katz, Brent Wicker

Katz, Brent Wicker is an individual health care provider with primary practice located at 1178 Hinemlu St , Saipan MP 96950-0409. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Katz, Brent Wicker can be contacted via phone (670) 234-8951.

Contact Information

Primary practice address
1178 Hinemlu St Saipan MP 96950-0409
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.0006841 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 124 Northern Mariana Islands

Profile Details

NPI number 1073289500
LBN Legal business name Katz, Brent Wicker
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2021
Last updated Mar 13th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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