Susan Wicke, Md
LBN: Susan Wicke, Md, Pc
Susan Wicke, Md is an health care organization with primary practice located at 112 Swift Ave , Durham NC 27705-4800. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty.
Susan Wicke, Md, Pc can be contacted via phone (919) 493-3932, or through Wicke, Susan Holly via phone (919) 493-3932.
Contact Information
Primary practice address
112 Swift Ave
Durham NC 27705-4800
Phone: (919) 493-3932
Fax: (919) 493-3932
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 36618 | North Carolina |
Profile Details
NPI number | 1629121223 |
---|---|
LBN Legal business name | Susan Wicke, Md, Pc |
DBA Doing business as | Susan Wicke, Md |
Authorized official | Wicke, Susan Holly Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 19th, 2007 |
Last updated | Aug 23rd, 2007 - about 17 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 | 1629121223 | NPPES |
North Carolina | Other | 130949 | CIGNA BEHAVIORAL HEALTH |
North Carolina | Other | 87341 | CIGNA BEHAVIORAL HEALTH |
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