Wicker, Brian Kyle
Wicker, Brian Kyle is an individual health care provider with primary practice located at 2205 Jefferson Davis Dr , Oxford MS 38655-5221. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wicker, Brian Kyle can be contacted via phone (662) 238-2800.Contact Information
Primary practice address
2205 Jefferson Davis Dr
Oxford MS 38655-5221
Phone: (662) 238-2800
Fax: (662) 238-2808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT2995 | Mississippi |
Profile Details
| NPI number | 1437185188 |
|---|---|
| LBN Legal business name | Wicker, Brian Kyle |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Jan 27th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437185188 | NPPES |
| Mississippi | MEDICAID | 001245531 |
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