Wick, Paul H

Wick, Paul H is an individual health care provider with primary practice located at 1909 Rickety Ln , Tyler TX 75703-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wick, Paul H can be contacted via phone (903) 561-1840.

Contact Information

Primary practice address
1909 Rickety Ln Tyler TX 75703-1702
Phone: (903) 561-1840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C9183 Texas

Profile Details

NPI number 1528034204
LBN Legal business name Wick, Paul H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated May 24th, 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 1528034204 NPPES
Texas MEDICAID 102801102

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