Hicks, Charles E

Hicks, Charles E is an sole proprietor health care provider with primary practice located at 140 North St , Cleveland MS 38732-2744. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Hicks, Charles E can be contacted via phone (662) 843-3668.

Contact Information

Primary practice address
140 North St Cleveland MS 38732-2744
Phone: (662) 843-3668
Fax: (662) 846-1894
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 80066 Mississippi

Profile Details

NPI number 1720186802
LBN Legal business name Hicks, Charles E
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720186802 NPPES
Mississippi MEDICAID 00013450

Popular Providers