Wickert, Emily Ann
Wickert, Emily Ann is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wickert, Emily Ann can be contacted via phone (920) 431-5555.Contact Information
Primary practice address
744 S Webster Ave
Green Bay WI 54301
Phone: (920) 431-5555
Fax: (920) 430-4745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3362-154 | Wisconsin |
Profile Details
| NPI number | 1992016935 |
|---|---|
| LBN Legal business name | Wickert, Emily Ann |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2010 |
| Last updated | Dec 21st, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992016935 | NPPES |
| Wisconsin | MEDICAID | 100009898 |
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