<Unavail>

LBN: Mitchell Wicker., Jr., M.D., P.S.C.
<Unavail> is an health care organization with primary practice located at 271 East Main Street , Hazard KY 41701. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mitchell Wicker., Jr., M.D., P.S.C. can be contacted via phone (606) 439-1316, or through Wicker, Mitchell via phone (606) 439-1316.

Contact Information

Primary practice address
271 East Main Street Hazard KY 41701
Phone: (606) 439-1316
Fax: (606) 439-4224
Website:
Map and Directions
Authorized official contact:
Name: Wicker, Mitchell Doctor of Medicine (MD)
Phone: (606) 439-1316

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21790 Kentucky

Profile Details

NPI number 1629249560
LBN Legal business name Mitchell Wicker., Jr., M.D., P.S.C.
DBA Doing business as <Unavail>
Authorized official Wicker, Mitchell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2008
Last updated Aug 11th, 2008 - about 18 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 1629249560 NPPES
Kentucky MEDICAID 65915910

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