Wickel, Dean J

Wickel, Dean J is an individual health care provider with primary practice located at 502 Cabela Dr , Triadelphia WV 26059-1044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Wickel, Dean J can be contacted via phone (304) 285-1996.

Contact Information

Primary practice address
502 Cabela Dr Triadelphia WV 26059-1044
Phone: (304) 285-1996
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 29653 West Virginia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 010701869B Indiana

Profile Details

NPI number 1811991763
LBN Legal business name Wickel, Dean J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Apr 21st, 2022 - about 3 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 1811991763 NPPES
Indiana MEDICAID 201039920

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