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MITCHELL WICKER JR MD PSC NPI 1093718116


NPI Information

NPI: 1093718116
Provider Name: MITCHELL WICKER JR MD PSC

Doing Business As: HAZARD CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
271 E MAIN ST
HAZARD, KY
ZIP 41701
Phone: (606) 439-1316
Get Directions

MITCHELL WICKER JR MD PSC is an internal medicine in Hazard, KY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MITCHELL WICKER JR MD PSC NPI is 1093718116. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hazard Clinic.

The provider's business location address is:

271 E MAIN ST
HAZARD, KY
ZIP 41701-939
Phone: (606) 439-1316
Fax: (606) 435-0752

The provider's authorized official is Mitchell Wicker .
The authorized official title is Owner and has the following contact phone number (606) 439-1316.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 1/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine21790KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
131001035MEDICAIDKENTUCKY
2C74809MEDICARE UPINKENTUCKY
33714MEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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