Wickstrom-Hill, Dale
Wickstrom-Hill, Dale is an sole proprietor health care provider with primary practice located at 200 Avenue F Ne , Winter Haven FL 33881-4131. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Wickstrom-Hill, Dale can be contacted via phone (352) 867-8898.Contact Information
Primary practice address
200 Avenue F Ne
Winter Haven FL 33881-4131
Phone: (352) 867-8898
Fax: (352) 732-6282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | OS0006374 | Florida |
Profile Details
| NPI number | 1538267471 |
|---|---|
| LBN Legal business name | Wickstrom-Hill, Dale |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jun 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 | 1538267471 | NPPES |
| Florida | Other | 80933 | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 003632900 | BLUE CROSS BLUE SHIELD |
Popular Providers
-
Mironov, Dmitry
24 Stevens St , Norwalk CT 06850-3852 -
Smith, Michael A
24 Stevens St , Norwalk CT 06850-3852 -
Leone, William H
5801 Crossings Blvd , Antioch TN 37013-3130 -
Guerrero, Diego F
1245 Orange Ave Ste 120 , Winter Park FL 32789-4954 -
Ladson, James W
2548 Rideout Ln , Murfreesboro TN 37128-7686 -
Certo, Antonio
111 N Lakemont Ave Suite 2E, Winter Park FL 32792-3217 -
Venditti, Mark A
24 Hospital Ave , Danbury CT 06810-6099 -
Vigna, Lucia
24 Stevens St , Norwalk CT 06850-3852