Wickham, Heather Audra

Wickham, Heather Audra is an individual health care provider with primary practice located at 19 Lukes Way , Plymouth MA 02360-4717. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wickham, Heather Audra can be contacted via phone (781) 467-9000.

Contact Information

Primary practice address
19 Lukes Way Plymouth MA 02360-4717
Phone: (781) 467-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1689275760
LBN Legal business name Wickham, Heather Audra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2020
Last updated Nov 4th, 2020 - about 6 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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