Wick, John M
Wick, John M is an individual health care provider with primary practice located at 703 S Americana Blvd Ste 120 , Boise ID 83702-6754. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wick, John M can be contacted via phone (208) 894-5543.Contact Information
Primary practice address
703 S Americana Blvd Ste 120
Boise ID 83702-6754
Phone: (208) 894-5543
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M8339 | Idaho |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | M-8339 | Idaho |
Profile Details
| NPI number | 1982657375 |
|---|---|
| LBN Legal business name | Wick, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Oct 3rd, 2017 - about 9 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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