Wickens, Jason Craig
Wickens, Jason Craig is an individual health care provider with primary practice located at 653 N Town Center Dr Ste 518 , Las Vegas NV 89144-0519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wickens, Jason Craig can be contacted via phone (702) 369-0200.Contact Information
Primary practice address
653 N Town Center Dr Ste 518
Las Vegas NV 89144-0519
Phone: (702) 369-0200
Fax: (702) 243-8383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 11776 | Nevada |
Profile Details
| NPI number | 1003860313 |
|---|---|
| LBN Legal business name | Wickens, Jason Craig |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jan 3rd, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003860313 | NPPES |
| Nevada | MEDICAID | 1003860313 |
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