Wickert, Cecilia M

Wickert, Cecilia M is an individual health care provider with primary practice located at 729 Cortaro Dr , Ruskin FL 33573-6812. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Wickert, Cecilia M can be contacted via phone (813) 633-0842.

Contact Information

Primary practice address
729 Cortaro Dr Ruskin FL 33573-6812
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY871 Florida

Profile Details

NPI number 1942230842
LBN Legal business name Wickert, Cecilia M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Oct 9th, 2008 - about 18 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 1942230842 NPPES
Florida Other 4899832 GHI
Florida MEDICAID 600321400 GHI

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