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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477511525 | NPPES |
Florida | MEDICAID | 890982200 |
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