Wyckoff, Elita N

Wyckoff, Elita N is an individual health care provider with primary practice located at 550 New Waverly Pl Suite 200, Cary NC 27518-7412. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wyckoff, Elita N can be contacted via phone (919) 467-5941.

Contact Information

Primary practice address
550 New Waverly Pl Suite 200 Cary NC 27518-7412
Fax: (919) 655-0532
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2005 00581 North Carolina

Profile Details

NPI number 1629033352
LBN Legal business name Wyckoff, Elita N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Feb 8th, 2010 - about 14 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 1629033352 NPPES
North Carolina MEDICAID 5902025

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