Wickline, Andrew B

Wickline, Andrew B is an individual health care provider with primary practice located at 4401 Middle Settlement Rd Suite 201, New Hartford NY 13413-5331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wickline, Andrew B can be contacted via phone (315) 735-4496.

Contact Information

Primary practice address
4401 Middle Settlement Rd Suite 201 New Hartford NY 13413-5331
Phone: (315) 735-4496
Fax: (315) 735-7066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 211832 New York

Profile Details

NPI number 1669459970
LBN Legal business name Wickline, Andrew B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Apr 3rd, 2019 - about 7 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 1669459970 NPPES
New York MEDICAID 02237869

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