Hicks, Jason

Hicks, Jason is an individual health care provider with primary practice located at 6919 Old Canton Rd , Ridgeland MS 39157-1268. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hicks, Jason can be contacted via phone (601) 956-0911.

Contact Information

Primary practice address
6919 Old Canton Rd Ridgeland MS 39157-1268
Phone: (601) 956-0911
Fax: (601) 957-8439
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18937 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18937 Mississippi

Profile Details

NPI number 1023034097
LBN Legal business name Hicks, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Dec 27th, 2013 - about 11 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 1023034097 NPPES
Mississippi MEDICAID 0629768

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