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Contact Information

ISAAC WICKER, BS
310 E TORRANCE
PONTIAC, IL61764
 Phone: 815-844-6109
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ISAAC WICKER · (Male)

NPI # 1427536812
Status Active
Credentials BS
Entity Individual
Enumeration date 07/30/2018
Last updated 07/30/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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