Wickware, Charles Allen

Wickware, Charles Allen is an sole proprietor health care provider with primary practice located at 144 Fairway Dr Suite D, Kerrville TX 78028-6455. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wickware, Charles Allen can be contacted via phone (830) 792-4663.

Contact Information

Primary practice address
144 Fairway Dr Suite D Kerrville TX 78028-6455
Phone: (830) 792-4663
Fax: (830) 896-8161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5612 Texas

Profile Details

NPI number 1548344765
LBN Legal business name Wickware, Charles Allen
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Jan 11th, 2017 - about 9 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 1548344765 NPPES
Texas MEDICAID 1094575-02
Texas Other 84201-BCBS
Texas Other 350028968

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