Wicks, Kerry W.
Wicks, Kerry W. is an sole proprietor health care provider with primary practice located at 3952 Highway 281 Se , Jamestown ND 58401-9408. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wicks, Kerry W. can be contacted via phone (701) 252-8939.Contact Information
Primary practice address
3952 Highway 281 Se
Jamestown ND 58401-9408
Phone: (701) 252-8939
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | North Dakota |
Profile Details
| NPI number | 1255429643 |
|---|---|
| LBN Legal business name | Wicks, Kerry W. |
| Credentials | MS, LAC, LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255429643 | NPPES |
| North Dakota | Other | 9202 | BCBS IDENTIFIER |
| North Dakota | Other | WIC17788 | BCBS IDENTIFIER |
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