Wickett, Martha Damron
Wickett, Martha Damron is an sole proprietor health care provider with primary practice located at 5001 Westbank Expy , Marrero LA 70072. She recently has only one registered license in Agencies / Public Health or Welfare, which is considered as her primary health care specialty. Wickett, Martha Damron can be contacted via phone (504) 349-8708.Contact Information
Primary practice address
5001 Westbank Expy
Marrero LA 70072
Phone: (504) 349-8708
Fax: (504) 329-8703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Public Health or Welfare | 251K00000X | 010966 | Louisiana |
Profile Details
| NPI number | 1295749513 |
|---|---|
| LBN Legal business name | Wickett, Martha Damron |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1295749513 | NPPES |
| Louisiana | MEDICAID | 1696374 |
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