Hicks, Dwayne Everett

Hicks, Dwayne Everett is an sole proprietor health care provider with primary practice located at 1078 Lake Royale 129 Choctaw Drive, Louisburg NC 27549. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Hicks, Dwayne Everett can be contacted via phone (252) 425-7746.

Contact Information

Primary practice address
1078 Lake Royale 129 Choctaw Drive Louisburg NC 27549
Phone: (252) 425-7746
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1821861345
LBN Legal business name Hicks, Dwayne Everett
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2023
Last updated Nov 6th, 2023 - about 2 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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