Barksdale, Mieasha Hicks

Barksdale, Mieasha Hicks is an individual health care provider with primary practice located at 1769 Melody Ln , Greenfield IN 46140-1192. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Barksdale, Mieasha Hicks can be contacted via phone (317) 937-8503.

Contact Information

Primary practice address
1769 Melody Ln Greenfield IN 46140-1192
Phone: (317) 937-8503
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07001205A Indiana

Profile Details

NPI number 1740547769
LBN Legal business name Barksdale, Mieasha Hicks
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2012
Last updated Mar 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740547769 NPPES
Indiana MEDICAID 201299790

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