Wickiser, Clifton Wayne

Wickiser, Clifton Wayne is an sole proprietor health care provider with primary practice located at 3618 E River St , Anderson SC 29621-7334. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wickiser, Clifton Wayne can be contacted via phone (864) 224-0246.

Contact Information

Primary practice address
3618 E River St Anderson SC 29621-7334
Fax: (864) 224-2524
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2599 South Carolina

Profile Details

NPI number 1144309469
LBN Legal business name Wickiser, Clifton Wayne
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Jun 15th, 2015 - about 11 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 1144309469 NPPES
South Carolina MEDICAID CH2599

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