Wickens, Leeann
Wickens, Leeann is an sole proprietor health care provider with primary practice located at 15855 19 Mile Rd , Clinton Twp MI 48038-3504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wickens, Leeann can be contacted via phone (586) 203-1940.Contact Information
Primary practice address
15855 19 Mile Rd
Clinton Twp MI 48038-3504
Phone: (586) 203-1940
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601001022 | Michigan |
Profile Details
NPI number | 1003174533 |
---|---|
LBN Legal business name | Wickens, Leeann |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 3rd, 2012 |
Last updated | Mar 10th, 2021 - about 4 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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