Wickman, Jordan
Wickman, Jordan is an individual health care provider with primary practice located at 1185 Corporate Center Dr Ste 250 , Oconomowoc WI 53066-4888. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wickman, Jordan can be contacted via phone (262) 928-8853.Contact Information
Primary practice address
1185 Corporate Center Dr Ste 250
Oconomowoc WI 53066-4888
Phone: (262) 928-8853
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | Wisconsin |
Profile Details
| NPI number | 1578116869 |
|---|---|
| LBN Legal business name | Wickman, Jordan |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2019 |
| Last updated | Jul 17th, 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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