Wickless, Scott C

Wickless, Scott C is an individual health care provider with primary practice located at 1801 S Osprey Ave Unit 201 , Sarasota FL 34239-3625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Wickless, Scott C can be contacted via phone (941) 957-4767.

Contact Information

Primary practice address
1801 S Osprey Ave Unit 201 Sarasota FL 34239-3625
Phone: (941) 957-4767
Fax: (941) 955-7334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X OS15286 Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS15286 Florida

Profile Details

NPI number 1043222714
LBN Legal business name Wickless, Scott C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Mar 6th, 2023 - about 2 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 1043222714 NPPES
Florida MEDICAID 107709300

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