Wicker, David L.

Wicker, David L. is an individual health care provider with primary practice located at 975 Sereno Dr , Vallejo CA 94589-2441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Wicker, David L. can be contacted via phone (707) 651-1000.

Contact Information

Primary practice address
975 Sereno Dr Vallejo CA 94589-2441
Phone: (707) 651-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X C38949 California

Profile Details

NPI number 1477631216
LBN Legal business name Wicker, David L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 19 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 1477631216 NPPES
California MEDICAID 00C389490

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