Wicks, Allan Benjamin

Wicks, Allan Benjamin is an individual health care provider with primary practice located at 1230 E 1St St , Casper WY 82601-2704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wicks, Allan Benjamin can be contacted via phone (307) 266-3174.

Contact Information

Primary practice address
1230 E 1St St Casper WY 82601-2704
Phone: (307) 266-3174
Fax: (307) 261-6713
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 6146A Wyoming

Profile Details

NPI number 1497792402
LBN Legal business name Wicks, Allan Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jun 6th, 2008 - about 17 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 1497792402 NPPES
Wyoming Other 060050550 RAILROAD MEDICARE
Wyoming Other 304682 RAILROAD MEDICARE
Wyoming Other 034644 RAILROAD MEDICARE
Wyoming MEDICAID 113648800 RAILROAD MEDICARE

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