Wickersham, Cornelius W
Wickersham, Cornelius W is an individual health care provider with primary practice located at 49 Leavenworth St Suite 200, Waterbury CT 06702-2115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wickersham, Cornelius W can be contacted via phone (602) 317-6874.Contact Information
Primary practice address
49 Leavenworth St Suite 200
Waterbury CT 06702-2115
Phone: (602) 317-6874
Fax: (602) 953-7767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 013709 | Connecticut |
Profile Details
| NPI number | 1104893650 |
|---|---|
| LBN Legal business name | Wickersham, Cornelius W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Oct 19th, 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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