Wicks, Jeffrey D

Wicks, Jeffrey D is an individual health care provider with primary practice located at 2490 W 26Th Ave Suite 220, Denver CO 80211-5314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wicks, Jeffrey D can be contacted via phone (303) 433-9729.

Contact Information

Primary practice address
2490 W 26Th Ave Suite 220 Denver CO 80211-5314
Fax: (303) 480-0405
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 28016 Colorado

Profile Details

NPI number 1043289556
LBN Legal business name Wicks, Jeffrey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 7th, 2008 - about 16 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 1043289556 NPPES
Colorado MEDICAID 01280163

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