Hicks, Jenny Fern
Hicks, Jenny Fern is an individual health care provider with primary practice located at 1905 Pine St , Sandpoint ID 83864-8311. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as her primary health care specialty. Hicks, Jenny Fern can be contacted via phone (208) 263-7998.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | PT-260 | Idaho |
Profile Details
| NPI number | 1578090833 |
|---|---|
| LBN Legal business name | Hicks, Jenny Fern |
| Credentials | DOCTORATE OF PT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2017 |
| Last updated | Aug 16th, 2023 - about last year |
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 | 1578090833 | NPPES |
| Idaho | Other | PT-260 | PHYSICAL THERAPY LICENSE NUMBER |
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