Debra Wickliffe is a Contractor in Lake City, Florida. Debra Wickliffe practices all healthcare services and medical treatments related to Contractor. The NPI Number for Debra Wickliffe is 1821285446. The last update date is 2007-09-27.
Debra Wickliffe's current location address is 134 Nw Olive Gln, Lake City, Florida. You can contact this provider via phone number 3869652770 and fax number 3869652770. The mailing address for Debra Wickliffe is 134 Nw Olive Gln, Lake City, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Debra Wickliffe |
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Address | 134 Nw Olive Gln, Lake City, Florida |
Phone Number | 3869652770 |
Fax Number | 3869652770 |
Sole Proprietor | Y |
Credentials | -- |
NPI Number Detail
NPI Number | 1821285446 |
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Provider Enumeration Date | 2007-09-27 |
Last Updated Date | 2007-09-27 |
Provider Mailing Address Detail
Address | 134 Nw Olive Gln |
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City | Lake City |
State | Florida (FL) |
Post Code | 320559210 |
Phone Number | 3869652770 |
Fax Number | 3869652770 |
Provider's Primary Taxonomy Detail
Speciality | Contractor |
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Taxonomy | 171W00000X |
Licence No | 6908802996 |
Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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6908802965 | FL | -- |
Post Comment/ Review Below
What is the Debra Wickliffe's 1821285446?
The Debra Wickliffe's NPI (National Provider Identifier) Number is 1821285446. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Debra Wickliffe's facilities are situated?
The facilities of Debra Wickliffe are physically located at the following address: 134 Nw Olive Gln, Lake City, FL, 320559210.
What is Debra Wickliffe's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Debra Wickliffe is Contractor, and the taxonomy classification code that categorizes this area of expertise is 171W00000X.
On what date did the Debra Wickliffe receive its 1821285446 assignment from the Centers for Medicare & Medicaid Services?
The Debra Wickliffe was assigned its 1821285446 by the Centers for Medicare & Medicaid Services on 2007-09-27.
When was the Debra Wickliffe's information last updated?
The Debra Wickliffe's information was last updated on 2007-09-27.
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