DR. DEBORAH CLARA WICKHAM (NPI# 1023388907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023388907 |
| Entity Type | Individual |
| Full Name | DR. DEBORAH CLARA WICKHAM |
| Credential | D.C. |
| Practice Address |
301 E Jefferson St La Grange KY 40031-1421 |
| Mailing Address |
3434 Mill Creek Rd Carrollton KY 41008-9088 |
| Practice Telephone | 5027582269 |
| Mailing Telephone | 5027329553 |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5144 | KY | Chiropractic Providers |
| Street Address |
301 E JEFFERSON ST |
| City | LA GRANGE |
| State | KY |
| Zip Code | 40031-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801858717 | William A Reed | Chiropractor | 301 E Jefferson St, La Grange, KY 40031-1421 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723089 | Nancee L Berling | Registered Nurse | 1914 Miller Ln, La Grange, KY 40031 | 2018-06-06 |
| 1134643000 | Zachary Byrne | Dentist | 3108 S. Hwy 53, Lagrange, KY 40031 | 2017-08-01 |
| 1609399971 | Walgreen Co | Pharmacy | 408 Oldham Plaza, La Grange, KY 40031 | 2017-07-19 |
| 1447790886 | Carolyn Marie Burton | Speech-Language Pathologist | 4603 Timber Walk Ct., Lagrange, KY 40031 | 2017-03-05 |
| 1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
| 1730559188 | Amanda Lynn Drawbaugh | Physical Therapist | Ascb Therapy, 4603 Timber Walk Ct., Lagrange, KY 40031 | 2015-09-29 |
| 1407250483 | Aaron Mangum | Specialist/Technologist | 2850 Jericho Road, Lagrange, KY 40031 | 2014-10-20 |
| 1073944500 | Tamara Thomas | Case Manager/Care Coordinator | 4121 Spencer Ct, Lagrange, KY 40031 | 2013-12-10 |
| 1669643854 | Alisa Marie Skinner | Physical Therapist | 618 Kentucky Ave, Lagrange, KY 40031 | 2008-03-17 |
| 1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
| Find all providers in zip 40031 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063943892 | Justin Boyce, P.C. | Chiropractor | 114 W Calendar Ave, Suite A, La Grange, IL 60525-2601 | 2017-03-23 |
| 1043756562 | Douglas Ryan Evenhouse | Chiropractor | 442 Sherwood Rd, La Grange, IL 60526-1968 | 2017-01-08 |
| 1528469905 | Julie Pleviak | Chiropractor | 411 S Madison Ave, La Grange, IL 60525-6305 | 2014-09-04 |
| 1811306285 | Devon Acou Dc, LLC | Chiropractor | 512 W Burlington Ave Ste 103, La Grange, IL 60525-2234 | 2014-08-10 |
| 1427307099 | Gordon Fimreite, Dc, S.c. | Chiropractor | 47 6th Ave Ste L, La Grange, IL 60525-5636 | 2012-08-29 |
| 1447529821 | Doyle Chiropractic LLC | Chiropractor | 1495 W State Highway 71, Ste D, La Grange, TX 78945-5137 | 2011-12-14 |
| 1730413253 | Dimensional Family Wellness, Inc | Chiropractor | 47 S. 6th Ave, Suite L, La Grange, IL 60525 | 2009-09-30 |
| 1437278561 | Frank M. Painter | Chiropractor | 11 S La Grange Rd, Ste. 204, La Grange, IL 60525-2460 | 2007-03-28 |
| 1467505446 | Rebecca Jean Shelburne | Chiropractor | 4201 W Highway 146, La Grange, KY 40031-9758 | 2007-01-21 |
| 1457416489 | Timothy Long | Chiropractor | 464 E Guadalupe, La Grange, TX 78945 | 2006-12-27 |
| Find all providers in LA GRANGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.