Wickham, Neil E

Wickham, Neil E is an individual health care provider with primary practice located at 2055 Kimball Ave Ste 400 , Waterloo IA 50702-5047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wickham, Neil E can be contacted via phone (319) 272-0000.

Contact Information

Primary practice address
2055 Kimball Ave Ste 400 Waterloo IA 50702-5047
Phone: (319) 272-0000
Fax: (319) 272-1329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31935 Iowa

Profile Details

NPI number 1811974934
LBN Legal business name Wickham, Neil E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Apr 4th, 2023 - about 3 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 1811974934 NPPES
Iowa MEDICAID 1811974934
Iowa MEDICAID 2140343
Iowa Other P00287732
Iowa MEDICAID 3140343

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