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Contact Information

MITCHELL WICKER., JR., M.D., P.S.C.
271 EAST MAIN STREET
HAZARD, KY41701
 Phone: 606-439-1316
 Fax: 606-439-4224
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MITCHELL WICKER., JR., M.D., P.S.C.

NPI Number 1629249560
LBN Legal business name MITCHELL WICKER., JR., M.D., P.S.C.
Authorized official MITCHELL WICKER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2008
Last updated 08/11/2008 - About 18 years ago
Identifiers
KY License # 21790
KY Medicaid 65915910
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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