National Provider Identifier Database

NEVILLE R WICHMAN, MD – NPI #1437121134
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Contact Information

NEVILLE R WICHMAN, MD
2500 NORTH STATE ST.
JACKSON, MS  39216
Phone: 601-984-2538
Fax: 601-815-1854
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for NEVILLE R WICHMAN

NPI Number 1437121134
Credentials MD
Entity Individual
Enumeration date 02/06/2006
Last updated 11/06/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • AL License #: 00021845
  • FL License #: ME88885
  • MS License #: 13966
  • MS Medicaid: 25025853
  • Other: CD5130 GROUP #
  • Other: DG7781 RAILROAD - GROUP
  • Other: P00462360 RAILROAD MEDICARE
  • Other: P00621714 RAILROAD MEDICARE
  • MS Other: 512G700003 MS MEDICARE - GROUP
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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