Wycoff, Reid C
Wycoff, Reid C is an individual health care provider with primary practice located at 2811 N 90Th St , Omaha NE 68134-5707. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Wycoff, Reid C can be contacted via phone (402) 391-0459.Contact Information
Primary practice address
2811 N 90Th St
Omaha NE 68134-5707
Phone: (402) 391-0459
Fax: (402) 384-8888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 6583-15 | Wisconsin |
Profile Details
| NPI number | 1629052840 |
|---|---|
| LBN Legal business name | Wycoff, Reid C |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Jan 21st, 2016 - about 8 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 | 1629052840 | NPPES |
| Nebraska | MEDICAID | 47063287713 | |
| Nebraska | Other | 1767815 |
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