Wicker, Mitchell
Wicker, Mitchell is an individual health care provider with primary practice located at 271 E Main St , Hazard KY 41701-1939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wicker, Mitchell can be contacted via phone (606) 439-1316.Contact Information
Primary practice address
271 E Main St
Hazard KY 41701-1939
Phone: (606) 439-1316
Fax: (606) 435-0752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21790 | Kentucky |
Profile Details
| NPI number | 1730182841 |
|---|---|
| LBN Legal business name | Wicker, Mitchell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Dec 9th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730182841 | NPPES |
| Kentucky | MEDICAID | 64217904 |
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