Wicksell, Carly Ann
Wicksell, Carly Ann is an sole proprietor health care provider with primary practice located at 2255 Sw 37Th Way , Gainesville FL 32607-4484. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Wicksell, Carly Ann can be contacted via phone (386) 882-2053.Contact Information
Primary practice address
2255 Sw 37Th Way
Gainesville FL 32607-4484
Phone: (386) 882-2053
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X |
Profile Details
| NPI number | 1013632330 |
|---|---|
| LBN Legal business name | Wicksell, Carly Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2022 |
| Last updated | Oct 10th, 2022 - about 2 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 | 1013632330 | NPPES |
| Florida | Other | VFM244898 | FLORIDA HEALTH CARE PLANS |
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