Hicks, Glenda D

Hicks, Glenda D is an individual health care provider with primary practice located at 805 Airport Way , Fairbanks AK 99701-6039. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Hicks, Glenda D can be contacted via phone (907) 456-8901.

Contact Information

Primary practice address
805 Airport Way Fairbanks AK 99701-6039
Phone: (907) 456-8901
Fax: (907) 452-5171
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 171MOOOOOX Alaska

Profile Details

NPI number 1154549863
LBN Legal business name Hicks, Glenda D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 18 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 1154549863 NPPES
Alaska Other CM3835 CARE COORDINATOR NUMBER

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