Wicker, Hollie

Wicker, Hollie is an individual health care provider with primary practice located at 1601 Nw 114Th St , Clive IA 50325-7007. 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. Wicker, Hollie can be contacted via phone (515) 222-7000.

Contact Information

Primary practice address
1601 Nw 114Th St Clive IA 50325-7007
Fax:
Website:

Health care specialties

Profile Details

NPI number 1164510798
LBN Legal business name Wicker, Hollie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Feb 12th, 2008 - about 17 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 1164510798 NPPES
Iowa Other 70932 WELLMARK BLUE SHIELD
Iowa Other 27468 WELLMARK BLUE SHIELD
Iowa Other P000429806 WELLMARK BLUE SHIELD

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