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Contact Information

THOMAS L WICKS, DPM
2100 W IOWA AVE
CHICKASHA, OK73018-2736
 Phone: 405-224-2100
 Fax: 405-779-2896
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for THOMAS L WICKS · (Male)

NPI Number 1265413694
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/11/2005
Last updated 08/16/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 239
  • OK Medicaid 200029530A
Hospital affiliation(s)
  • MCALESTER REGIONAL HEALTH CENTER - (Acute Care)
    ONE CLARK BASS BOULEVARD
    MCALESTER, OK 74501
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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