Wicherski, Beata Anna

Wicherski, Beata Anna is an individual health care provider with primary practice located at 777 Flower St Ste A , Glendale CA 91201-3000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wicherski, Beata Anna can be contacted via phone (818) 637-2000.

Contact Information

Primary practice address
777 Flower St Ste A Glendale CA 91201-3000
Phone: (818) 637-2000
Fax: (818) 242-8761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A53981 California

Profile Details

NPI number 1083662340
LBN Legal business name Wicherski, Beata Anna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Apr 14th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083662340 NPPES
California MEDICAID 00A539810

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