Wical, Beverly S

Wical, Beverly S is an individual health care provider with primary practice located at 200 University Ave E , Saint Paul MN 55101-2507. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Wical, Beverly S can be contacted via phone (651) 325-2325.

Contact Information

Primary practice address
200 University Ave E Saint Paul MN 55101-2507
Phone: (651) 325-2325
Fax: (651) 229-1718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 37563 Minnesota

Profile Details

NPI number 1740360734
LBN Legal business name Wical, Beverly S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 7th, 2015 - about 9 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1740360734 NPPES
Minnesota MEDICAID 637750500

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