Wickiser, Clayton Wade
Wickiser, Clayton Wade is an individual health care provider with primary practice located at 3014 N Main Street Suite F, , Anderson SC 29621-2761. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wickiser, Clayton Wade can be contacted via phone (864) 226-8868.Contact Information
Primary practice address
3014 N Main Street Suite F,
Anderson SC 29621-2761
Phone: (864) 226-8868
Fax: (864) 226-8804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2089 | South Carolina |
Profile Details
| NPI number | 1275511750 |
|---|---|
| LBN Legal business name | Wickiser, Clayton Wade |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Feb 4th, 2021 - about 5 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 | 1275511750 | NPPES |
| South Carolina | MEDICAID | CH2089 |
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