Wicksman, Roger H
Wicksman, Roger H is an individual health care provider with primary practice located at 248 Pleasant St Suite 1700, Concord NH 03301-2588. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wicksman, Roger H can be contacted via phone (603) 224-1929.Contact Information
Primary practice address
248 Pleasant St Suite 1700
Concord NH 03301-2588
Phone: (603) 224-1929
Fax: (603) 228-7114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 8067 | New Hampshire |
Profile Details
| NPI number | 1033180708 |
|---|---|
| LBN Legal business name | Wicksman, Roger H |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | May 12th, 2009 - about 15 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 | 1033180708 | NPPES |
| New Hampshire | MEDICAID | 30003203 | |
| New Hampshire | Other | 20449Y |
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