Wick, Monique S

Wick, Monique S is an individual health care provider with primary practice located at 9301 Glacier Hwy Ste 100 , Juneau AK 99801-9380. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Wick, Monique S can be contacted via phone (907) 523-3507.

Contact Information

Primary practice address
9301 Glacier Hwy Ste 100 Juneau AK 99801-9380
Fax: (907) 463-3605
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X CM4242 Alaska

Profile Details

NPI number 1558574889
LBN Legal business name Wick, Monique S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jan 24th, 2012 - about 13 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 1558574889 NPPES
Alaska MEDICAID CM4242

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