Wilcox, Andrea Lee

Wilcox, Andrea Lee is an individual health care provider with primary practice located at 275 W Macarthur , Oakland CA 94611-5641. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Wilcox, Andrea Lee can be contacted via phone (510) 752-1000.

Contact Information

Primary practice address
275 W Macarthur Oakland CA 94611-5641
Phone: (510) 752-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X G71126 California

Profile Details

NPI number 1043399199
LBN Legal business name Wilcox, Andrea Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Sep 24th, 2014 - about 11 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 1043399199 NPPES
California MEDICAID 00G711260

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