Wickham, Jesse M

Wickham, Jesse M is an sole proprietor health care provider with primary practice located at 3551 Roger Brooke Dr , Jbsa Ft Sam Houston TX 78234-4504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wickham, Jesse M can be contacted via phone (210) 916-7408.

Contact Information

Primary practice address
3551 Roger Brooke Dr Jbsa Ft Sam Houston TX 78234-4504
Phone: (210) 916-7408
Fax: (210) 916-3585
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 02003331A Indiana
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 23573 Mississippi

Profile Details

NPI number 1376602060
LBN Legal business name Wickham, Jesse M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2006
Last updated Mar 17th, 2018 - about 8 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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