Wickham, Cheryl
Wickham, Cheryl is an individual health care provider with primary practice located at 3399 E Grand River Ave Ste 202 , Howell MI 48843-7555. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wickham, Cheryl can be contacted via phone (517) 548-1020.Contact Information
Primary practice address
3399 E Grand River Ave Ste 202
Howell MI 48843-7555
Phone: (517) 548-1020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301047502 | Michigan |
Profile Details
| NPI number | 1285687939 |
|---|---|
| LBN Legal business name | Wickham, Cheryl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Nov 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285687939 | NPPES |
| Michigan | Other | CW047502 | BLUE CROSS BLUE SHIELD |
| Michigan | MEDICAID | 4425672 | BLUE CROSS BLUE SHIELD |
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