Pidcock, Wesley David
Pidcock, Wesley David is an individual health care provider with primary practice located at 4400 E Flamingo Ave Ste 200 , Nampa ID 83687. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Pidcock, Wesley David can be contacted via phone (208) 302-2100.Contact Information
Primary practice address
4400 E Flamingo Ave Ste 200
Nampa ID 83687
Phone: (208) 302-2100
Fax: (208) 302-2125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | O-1353 | Idaho |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 20A15369 | California |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | DO198185 | Oregon |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | O-1353 | Idaho |
Profile Details
| NPI number | 1013335157 |
|---|---|
| LBN Legal business name | Pidcock, Wesley David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2014 |
| Last updated | Nov 25th, 2020 - about 6 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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