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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538267471 NPPES
Florida Other 80933 BLUE CROSS BLUE SHIELD
Florida MEDICAID 003632900 BLUE CROSS BLUE SHIELD

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