Wickham, Cara

Wickham, Cara is an individual health care provider with primary practice located at 1205 Troy Schenectady Rd Ste 101 , Latham NY 12110-1074. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wickham, Cara can be contacted via phone (518) 348-3176.

Contact Information

Primary practice address
1205 Troy Schenectady Rd Ste 101 Latham NY 12110-1074
Phone: (518) 348-3176
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 08647 New York

Profile Details

NPI number 1346300266
LBN Legal business name Wickham, Cara
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Oct 24th, 2019 - about 7 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 1346300266 NPPES
New York MEDICAID 02848171

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