Wichman, Neville R.
Wichman, Neville R. is an individual health care provider with primary practice located at 2500 North State St. , Jackson MS 39216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wichman, Neville R. can be contacted via phone (601) 984-2538.Contact Information
Primary practice address
2500 North State St.
Jackson MS 39216
Phone: (601) 984-2538
Fax: (601) 815-1854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 00021845 | Alabama |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME88885 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 13966 | Mississippi |
Profile Details
| NPI number | 1437121134 |
|---|---|
| LBN Legal business name | Wichman, Neville R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Nov 6th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437121134 | NPPES |
| Other | DG7781 | RAILROAD - GROUP | |
| Other | CD5130 | RAILROAD - GROUP | |
| Other | P00621714 | RAILROAD - GROUP | |
| Other | 512G700003 | RAILROAD - GROUP | |
| Other | P00462360 | RAILROAD - GROUP | |
| MEDICAID | 25025853 | RAILROAD - GROUP |
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