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DR. STEPHEN PAUL WICKER DO NPI 1538658836


NPI Information

NPI: 1538658836
Provider Name: DR. STEPHEN PAUL WICKER, DO
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Organization: PRIMARY HEALTH PHYSICIANS PLLC

PECOS Registration: Yes

Address:
9228 MEDICAL PLAZA DR
CHARLESTON, SC
ZIP 29406
Phone: (843) 876-7080
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DR. Stephen Paul Wicker, DO is a student in an organized health care education training program in Charleston, SC with 6 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Stephen Paul Wicker, DO NPI is 1538658836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduation Year:2018

The provider's business location address is:

9228 MEDICAL PLAZA DR
CHARLESTON, SC
ZIP 29406-125
Phone: (843) 876-7080
Fax: (843) 876-7111

The NPI 1538658836 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/2/2018 and was last updated on 6/15/2021.


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
1207Q00000XFamily MedicineT1883TEXASNo
2390200000XStudent in an Organized Health Care Education/Training ProgramYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.