Wicke, Amy
Wicke, Amy is an individual health care provider with primary practice located at 100 W Dean Keeton St , Austin TX 78712-1091. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Wicke, Amy can be contacted via phone (512) 471-4955.Contact Information
Primary practice address
100 W Dean Keeton St
Austin TX 78712-1091
Phone: (512) 471-4955
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA04282 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA04282 | Texas |
Profile Details
NPI number | 1568465722 |
---|---|
LBN Legal business name | Wicke, Amy |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2005 |
Last updated | Feb 16th, 2024 - about 7 months 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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