Wickersham, Summer Dawn
Wickersham, Summer Dawn is an individual health care provider with primary practice located at 254 Pinecrest Dr , Gallipolis OH 45631-1347. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wickersham, Summer Dawn can be contacted via phone (740) 578-4824.Contact Information
Primary practice address
254 Pinecrest Dr
Gallipolis OH 45631-1347
Phone: (740) 578-4824
Fax: (740) 578-4821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 171038 | Ohio |
Profile Details
| NPI number | 1023658515 |
|---|---|
| LBN Legal business name | Wickersham, Summer Dawn |
| Credentials | CDCA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2020 |
| Last updated | Jan 13th, 2020 - about 5 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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