Wickersham, Tod

Wickersham, Tod is an individual health care provider with primary practice located at 9206 Ashworth Dr , Verona WI 53593-9196. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Other Service Providers / Health Educator. Behavioral Health & Social Service Providers / Pastoral is his primary health care specialty. Wickersham, Tod can be contacted via phone (202) 322-2267.

Contact Information

Primary practice address
9206 Ashworth Dr Verona WI 53593-9196
Phone: (202) 322-2267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1194465104
LBN Legal business name Wickersham, Tod
Credentials FNLP, CFNC, OM
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2022
Last updated Mar 29th, 2022 - about 4 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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