Wilcken, Wayne A
Wilcken, Wayne A is an individual health care provider with primary practice located at 2025 E Aztec Ave , Gallup NM 87301-4803. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wilcken, Wayne A can be contacted via phone (505) 863-3828.Contact Information
Primary practice address
2025 E Aztec Ave
Gallup NM 87301-4803
Phone: (505) 863-3828
Fax: (505) 863-6612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3215 | New Mexico |
Profile Details
| NPI number | 1528272259 |
|---|---|
| LBN Legal business name | Wilcken, Wayne A |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Jan 26th, 2012 - about 13 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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