Wicker, Brian E

Wicker, Brian E is an individual health care provider with primary practice located at 2352 Bruce B Downs Blvd Ste 102 , Wesley Chapel FL 33544-9203. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Wicker, Brian E can be contacted via phone (813) 979-0440.

Contact Information

Primary practice address
2352 Bruce B Downs Blvd Ste 102 Wesley Chapel FL 33544-9203
Phone: (813) 979-0440
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9105658 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9105658 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9105658 Florida

Profile Details

NPI number 1932417235
LBN Legal business name Wicker, Brian E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2010
Last updated Jul 28th, 2022 - about 2 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 1932417235 NPPES
Florida Other Y05NE BCBS
Florida MEDICAID 002748200 BCBS

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