Hicks, Larissa Jean
Hicks, Larissa Jean is an sole proprietor health care provider with primary practice located at 1007 Maple St , Piqua OH 45356-1639. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Licensed Vocational Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Hicks, Larissa Jean can be contacted via phone (937) 541-9616.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | PN116195 | Ohio |
| Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | PN116195 | Ohio |
Profile Details
| NPI number | 1558694240 |
|---|---|
| LBN Legal business name | Hicks, Larissa Jean |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2009 |
| Last updated | May 20th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558694240 | NPPES |
| Ohio | MEDICAID | 2973206 |
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