Hicks, David Conrad
Hicks, David Conrad is an individual health care provider with primary practice located at 10100 Kanis Rd , Little Rock AR 72205-6202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hicks, David Conrad can be contacted via phone (501) 255-6000.Contact Information
Primary practice address
10100 Kanis Rd
Little Rock AR 72205-6202
Phone: (501) 255-6000
Fax: (501) 255-6400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | C-5202 | Arkansas |
Profile Details
| NPI number | 1235140856 |
|---|---|
| LBN Legal business name | Hicks, David Conrad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235140856 | NPPES |
| Arkansas | Other | 89-T030 | MALP INS |
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