Hicks, Benjamin J

Hicks, Benjamin J is an individual health care provider with primary practice located at 827 S Jackson St , Osceola IA 50213-1666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hicks, Benjamin J can be contacted via phone (641) 342-2128.

Contact Information

Primary practice address
827 S Jackson St Osceola IA 50213-1666
Fax: (641) 342-3179
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD-39719 Iowa

Profile Details

NPI number 1124353099
LBN Legal business name Hicks, Benjamin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2009
Last updated Feb 27th, 2015 - about 9 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 1124353099 NPPES
Iowa MEDICAID 1124353099

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