Hicks, David C

Hicks, David C is an individual health care provider with primary practice located at 3555 S National Ave Suite 100, Springfield MO 65807-7310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Hicks, David C can be contacted via phone (417) 875-3800.

Contact Information

Primary practice address
3555 S National Ave Suite 100 Springfield MO 65807-7310
Phone: (417) 875-3800
Fax: (417) 875-3176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 2004009696 Missouri

Profile Details

NPI number 1104807924
LBN Legal business name Hicks, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Aug 31st, 2012 - about 12 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 1104807924 NPPES
Missouri MEDICAID 209273309
Missouri Other 2004009696

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