Gary Wikert Md Pllc

LBN: Gary Wikert Md Pllc
Gary Wikert Md Pllc is an health care organization with primary practice located at 29 Taylor Ave Suite 210, Crossville TN 38555-4527. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Gary Wikert Md Pllc can be contacted via phone (931) 707-5313, or through Wikert, Gale Ann via phone (931) 707-5313.

Contact Information

Primary practice address
29 Taylor Ave Suite 210 Crossville TN 38555-4527
Phone: (931) 707-5313
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wikert, Gale Ann
Phone: (931) 707-5313

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 34776 Tennessee

Profile Details

NPI number 1760490064
LBN Legal business name Gary Wikert Md Pllc
DBA Doing business as
Authorized official Wikert, Gale Ann
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Oct 3rd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760490064 NPPES
Tennessee Other D31365 UPIN
Tennessee MEDICAID 3735040 UPIN
Tennessee Other POO906801 UPIN

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