Hicks, Elizabeth Johnson

Hicks, Elizabeth Johnson is an individual health care provider with primary practice located at 37 S Main St , Williston FL 32696-2681. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Nursing Service Providers / Registered Nurse. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Hicks, Elizabeth Johnson can be contacted via phone (352) 528-0022.

Contact Information

Primary practice address
37 S Main St Williston FL 32696-2681
Phone: (352) 528-0022
Fax: (352) 528-2878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL 36 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT5183 Florida
Nursing Service Providers / Registered Nurse 163W00000X RN1487192 Florida

Profile Details

NPI number 1477511525
LBN Legal business name Hicks, Elizabeth Johnson
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jan 22nd, 2009 - about 15 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 1477511525 NPPES
Florida MEDICAID 890982200

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