Hazard Clinic

LBN: Mitchell Wicker Jr Md Psc
Hazard Clinic is an health care organization with primary practice located at 271 E Main St , Hazard KY 41701-1939. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mitchell Wicker Jr Md Psc can be contacted via phone (606) 439-1316, or through Wicker, Mitchell via phone (606) 439-1316.

Contact Information

Primary practice address
271 E Main St Hazard KY 41701-1939
Phone: (606) 439-1316
Fax: (606) 435-0752
Website:
Map and Directions
Authorized official contact:
Name: Wicker, Mitchell Doctor of Medicine (MD)
Phone: (606) 439-1316

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21790 Kentucky

Profile Details

NPI number 1093718116
LBN Legal business name Mitchell Wicker Jr Md Psc
DBA Doing business as Hazard Clinic
Authorized official Wicker, Mitchell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Jan 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093718116 NPPES
Kentucky MEDICAID 31001035

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