Wick, Wendy Lyn
Wick, Wendy Lyn is an sole proprietor health care provider with primary practice located at 13035 W Bluemound Rd Suite 100, Brookfield WI 53005-8001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wick, Wendy Lyn can be contacted via phone (262) 408-1125.Contact Information
Primary practice address
13035 W Bluemound Rd Suite 100
Brookfield WI 53005-8001
Phone: (262) 408-1125
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3937-125 | Wisconsin |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 15465-131 | Wisconsin |
Profile Details
| NPI number | 1174717094 |
|---|---|
| LBN Legal business name | Wick, Wendy Lyn |
| Credentials | RN,LPC,SAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2007 |
| Last updated | Nov 19th, 2009 - about 15 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 | 1174717094 | NPPES |
| Wisconsin | MEDICAID | 1174717094 |
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