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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285687939 NPPES
Michigan Other CW047502 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 4425672 BLUE CROSS BLUE SHIELD

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