Hicks, John B

Hicks, John B is an individual health care provider with primary practice located at 1213 56Th St , Meridian MS 39305-1447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hicks, John B can be contacted via phone (601) 483-7812.

Contact Information

Primary practice address
1213 56Th St Meridian MS 39305-1447
Fax: (601) 482-4269
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 09618 Mississippi

Profile Details

NPI number 1942204284
LBN Legal business name Hicks, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Aug 5th, 2008 - about 16 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 1942204284 NPPES
Mississippi MEDICAID 00123663

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