Wicker, Dale Prescott

Wicker, Dale Prescott is an individual health care provider with primary practice located at 1532 Main Ave. Se , Hickory NC 28601-3067. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Wicker, Dale Prescott can be contacted via phone (828) 325-5475.

Contact Information

Primary practice address
1532 Main Ave. Se Hickory NC 28601-3067
Phone: (828) 325-5475
Fax: (828) 325-5397
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201285 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201285 North Carolina

Profile Details

NPI number 1215158977
LBN Legal business name Wicker, Dale Prescott
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Nov 21st, 2017 - about 7 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 1215158977 NPPES
North Carolina MEDICAID 7004032

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