Active NPIIndividual providerSole proprietor

Mr. Robert C Wicklund, PA

Physician Assistant in East Providence, Rhode Island

NPI Number1437785821
Practice location
1 Kettle Point Ave, East Providence, RI 02914-5375
Fax
—
Last updated
November 1, 2021

Robert Christopher Wicklund is a Physician Assistant based in East Providence, RI. Robert Christopher Wicklund practices in East Providence, RI and has the professional credentials of PA. The NPI Number for Robert Christopher Wicklund is 1437785821 and holds a License No. PA01222 (RI). The current practice location address for Robert Christopher Wicklund is 1 Kettle Point Ave, East Providence, RI 02914-5375 and can be reached out via phone at 401-457-1500.

Provider Profile Details

NPI Number
1437785821
Provider Name
Robert Christopher Wicklund
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1 Kettle Point Ave, East Providence, RI 02914-5375
Phone Number
401-457-1500
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 17, 2020
Last Update Date
November 1, 2021
Certification Date
November 1, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Kettle Point Ave
East Providence, RI 02914-5375
Zip
02914-5375
Phone Number
401-457-1500
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
Po Box 1119
Providence, RI 02901-1119
City
Providence
State
RI
Zip
02901-1119

License Information

License Number
PA01222
License State
RI
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Robert C Wicklund, PA?

The NPI number of Mr. Robert C Wicklund, PA is 1437785821. It was assigned on March 17, 2020 and is currently active in the NPPES registry.

What is the specialty of Mr. Robert C Wicklund, PA?

Mr. Robert C Wicklund, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA01222.

Where does Mr. Robert C Wicklund, PA practice?

The practice location is 1 Kettle Point Ave, East Providence, RI 02914-5375. The office can be reached at 401-457-1500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437785821 directly on the NPPES registry website.

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