Hicks, Jessica

Hicks, Jessica is an individual health care provider with primary practice located at 1500 N Oakland Ave , Bolivar MO 65613-3011. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Hicks, Jessica can be contacted via phone (417) 777-7763.

Contact Information

Primary practice address
1500 N Oakland Ave Bolivar MO 65613-3011
Phone: (417) 777-7763
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2006020972 Missouri

Profile Details

NPI number 1972631604
LBN Legal business name Hicks, Jessica
Credentials AT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
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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