Wichman, Noah J

Wichman, Noah J is an individual health care provider with primary practice located at 107 Weeks Dr , Roxboro NC 27573-3933. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wichman, Noah J can be contacted via phone (336) 598-5480.

Contact Information

Primary practice address
107 Weeks Dr Roxboro NC 27573-3933
Phone: (336) 598-5480
Fax: (336) 598-5482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 103885 North Carolina

Profile Details

NPI number 1629037858
LBN Legal business name Wichman, Noah J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Dec 11th, 2012 - about 14 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 1629037858 NPPES
North Carolina MEDICAID 891005R

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