Search › Ohio › 146N00000X
Jayson Wickard
NPI 1265786107 · on the registry since 2012
Practice
- Address
- 2215 6th St Sw
Canton, OH 44706 - Phone
- (866) 576-4118
- Fax
- (877) 847-7347
- Organisation at this address
- Securified Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 146N00000X
146N00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio