Wicks, Thomas Lee

Wicks, Thomas Lee is an individual health care provider with primary practice located at 2100 W Iowa Ave , Chickasha OK 73018-2736. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Wicks, Thomas Lee can be contacted via phone (405) 224-2100.

Contact Information

Primary practice address
2100 W Iowa Ave Chickasha OK 73018-2736
Phone: (405) 224-2100
Fax: (405) 779-2896
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 239 Oklahoma

Profile Details

NPI number 1265413694
LBN Legal business name Wicks, Thomas Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Aug 16th, 2016 - about 9 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 1265413694 NPPES
Oklahoma MEDICAID 200029530A

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