Wicks, Louisa Duke
Wicks, Louisa Duke is an individual health care provider with primary practice located at 705 Santa Fe Dr , Searcy AR 72143-6964. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wicks, Louisa Duke can be contacted via phone (501) 268-3853.Contact Information
Primary practice address
705 Santa Fe Dr
Searcy AR 72143-6964
Phone: (501) 268-3853
Fax: (501) 268-3856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-377 | Arkansas |
Profile Details
| NPI number | 1336180074 |
|---|---|
| LBN Legal business name | Wicks, Louisa Duke |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Apr 16th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336180074 | NPPES |
| Arkansas | MEDICAID | 200825795 |
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