Wicknick, Fredrick W
Wicknick, Fredrick W is an sole proprietor health care provider with primary practice located at 3136 Squalicum Pkwy Suite #B, Bellingham WA 98225-1954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Wicknick, Fredrick W can be contacted via phone (360) 671-4859.Contact Information
Primary practice address
3136 Squalicum Pkwy Suite #B
Bellingham WA 98225-1954
Phone: (360) 671-4859
Fax: (360) 671-3010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | DE00006347 | Washington |
Profile Details
| NPI number | 1659310217 |
|---|---|
| LBN Legal business name | Wicknick, Fredrick W |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jun 29th, 2024 - about last year |
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 | 1659310217 | NPPES |
| Washington | Other | 08367 | WDS |
| Washington | Other | 581903 | WDS |
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