Wicklem, Eric Andrew

Wicklem, Eric Andrew is an individual health care provider with primary practice located at 501 Caldwell Ln , Dunbar WV 25064-2026. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Wicklem, Eric Andrew can be contacted via phone (304) 744-7064.

Contact Information

Primary practice address
501 Caldwell Ln Dunbar WV 25064-2026
Phone: (304) 744-7064
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 288 West Virginia

Profile Details

NPI number 1801130364
LBN Legal business name Wicklem, Eric Andrew
Credentials LPTA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2012
Last updated Nov 21st, 2012 - about 13 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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