Wickman, Alexandria

Wickman, Alexandria is an individual health care provider with primary practice located at 806 Wasena Ave Sw Apt 423 , Roanoke VA 24015-5354. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wickman, Alexandria can be contacted via phone (252) 349-2289.

Contact Information

Primary practice address
806 Wasena Ave Sw Apt 423 Roanoke VA 24015-5354
Phone: (252) 349-2289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110009034 Virginia

Profile Details

NPI number 1235856626
LBN Legal business name Wickman, Alexandria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2022
Last updated Feb 8th, 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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