Wicker, Tiffany S.

Wicker, Tiffany S. is an individual health care provider with primary practice located at 726 S Scales St , Reidsville NC 27320-5330. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, which is considered as her primary health care specialty. Wicker, Tiffany S. can be contacted via phone (336) 342-6474.

Contact Information

Primary practice address
726 S Scales St Reidsville NC 27320-5330
Fax: (336) 342-7660
Website:

Health care specialties

Profile Details

NPI number 1912191313
LBN Legal business name Wicker, Tiffany S.
Credentials CFM
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2007
Last updated Aug 29th, 2007 - 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 1912191313 NPPES
North Carolina MEDICAID 7795196
North Carolina Other 1740278167

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