Wicker, Jeffrey

Wicker, Jeffrey is an individual health care provider with primary practice located at 464 Linden Ave , Harrodsburg KY 40330-1882. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Wicker, Jeffrey can be contacted via phone (859) 734-5441.

Contact Information

Primary practice address
464 Linden Ave Harrodsburg KY 40330-1882
Phone: (859) 734-5441
Fax: (859) 734-5563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25976 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25976 Kentucky

Profile Details

NPI number 1932143484
LBN Legal business name Wicker, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Dec 16th, 2020 - about 5 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 1932143484 NPPES
Kentucky MEDICAID 64259765

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