Wickerham, Donald Lawrence

Wickerham, Donald Lawrence is an individual health care provider with primary practice located at 320 E North Ave , Pittsburgh PA 15212-4756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Wickerham, Donald Lawrence can be contacted via phone (412) 359-3336.

Contact Information

Primary practice address
320 E North Ave Pittsburgh PA 15212-4756
Phone: (412) 359-3336
Fax: (412) 359-6263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X MD026049E Pennsylvania

Profile Details

NPI number 1306848148
LBN Legal business name Wickerham, Donald Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Oct 5th, 2020 - about 6 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 1306848148 NPPES
West Virginia MEDICAID 3810008593
West Virginia MEDICAID 000864191

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