Hickox, Peter G

Hickox, Peter G is an individual health care provider with primary practice located at 420 W Acacia St Sutie 11, Stockton CA 95203-2441. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Hickox, Peter G can be contacted via phone (209) 948-4098.

Contact Information

Primary practice address
420 W Acacia St Sutie 11 Stockton CA 95203-2441
Phone: (209) 948-4098
Fax: (209) 948-2334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G86782 California
Other Service Providers / Specialist 174400000X G86782 California

Profile Details

NPI number 1962401810
LBN Legal business name Hickox, Peter G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Aug 21st, 2013 - about 11 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 1962401810 NPPES
California MEDICAID 00G867820
California Other 911803606

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