Wickstrum, Catherine
Wickstrum, Catherine is an sole proprietor health care provider with primary practice located at 4966 W Philomena St , Meridian ID 83646-4657. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Wickstrum, Catherine can be contacted via phone (805) 551-4156.Contact Information
Primary practice address
4966 W Philomena St
Meridian ID 83646-4657
Phone: (805) 551-4156
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1134742950 |
|---|---|
| LBN Legal business name | Wickstrum, Catherine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2020 |
| Last updated | Feb 5th, 2021 - about 5 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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