Wickner, Paige G
Wickner, Paige G is an individual health care provider with primary practice located at 850 Boylston St Suite 540, Chestnut Hill MA 02467-2477. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Wickner, Paige G can be contacted via phone (617) 732-9850.Contact Information
Primary practice address
850 Boylston St Suite 540
Chestnut Hill MA 02467-2477
Phone: (617) 732-9850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 044668 | Connecticut |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 244198 | Massachusetts |
Profile Details
| NPI number | 1740342393 |
|---|---|
| LBN Legal business name | Wickner, Paige G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740342393 | NPPES |
| Connecticut | Other | 35877 | CT CSR |
| Connecticut | Other | 044668 | CT CSR |
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