Hicks, George William

Hicks, George William is an individual health care provider with primary practice located at 7440 N Shadeland Ave Ste 150, Indianapolis IN 46250-2095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as his primary health care specialty. Hicks, George William can be contacted via phone (317) 842-4901.

Contact Information

Primary practice address
7440 N Shadeland Ave Ste 150 Indianapolis IN 46250-2095
Phone: (317) 842-4901
Fax: (317) 842-4393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 01026461A Indiana

Profile Details

NPI number 1487657185
LBN Legal business name Hicks, George William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jul 8th, 2007 - about 17 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 1487657185 NPPES
Indiana Other 000000091198 ANTHEM PROVIDER NUMBER
Indiana Other 211177 ANTHEM PROVIDER NUMBER
Indiana Other 1028041 ANTHEM PROVIDER NUMBER
Indiana Other 4004243 ANTHEM PROVIDER NUMBER

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