Susan Wicke, Md

LBN: Susan Wicke, Md, Pc
Susan Wicke, Md is an health care organization with primary practice located at 112 Swift Ave , Durham NC 27705-4800. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Susan Wicke, Md, Pc can be contacted via phone (919) 493-3932, or through Wicke, Susan Holly via phone (919) 493-3932.

Contact Information

Primary practice address
112 Swift Ave Durham NC 27705-4800
Phone: (919) 493-3932
Fax: (919) 493-3932
Website:
Map and Directions
Authorized official contact:
Name: Wicke, Susan Holly Doctor of Medicine (MD)
Phone: (919) 493-3932

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 36618 North Carolina

Profile Details

NPI number 1629121223
LBN Legal business name Susan Wicke, Md, Pc
DBA Doing business as Susan Wicke, Md
Authorized official Wicke, Susan Holly Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Aug 23rd, 2007 - about 19 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 1629121223 NPPES
North Carolina Other 130949 CIGNA BEHAVIORAL HEALTH
North Carolina Other 87341 CIGNA BEHAVIORAL HEALTH

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