Hicks, Larry Charles
Hicks, Larry Charles is an individual health care provider with primary practice located at 1441 Florida , Modesto CA 95352. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Hicks, Larry Charles can be contacted via phone (209) 576-3999.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
NPI number | 1568453801 |
---|---|
LBN Legal business name | Hicks, Larry Charles |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 4th, 2005 |
Last updated | Jan 11th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568453801 | NPPES |
California | Other | CD069A | GROUP PTAN |
California | Other | OPA108440 | GROUP PTAN |
California | MEDICAID | OPA108440 | GROUP PTAN |
Popular Providers
-
Barbe, Karen Michelle
1329 Spanos Ct Suite B4, Modesto CA 95355-2806 -
Scherer, Julie Elizabeth
1335 Coffee Rd Ste 100 , Modesto CA 95355-3192 -
Pryor, Donna Lynn
1324 Nelson Ave. Suite B , Modesto CA 95350 -
Edwards, Sydney
1441 Florida Ave , Modesto CA 95350-4418 -
Kelley, Rosemarie
1441 Florida Ave Doctor'S Medical Center - Neuro Icu, Modesto CA 95350-4405 -
Dahlin, Jessica
1700 Coffee Rd , Modesto CA 95355-2803 -
Morey, Stephan Robert
1421 Oakdale Rd , Modesto CA 95355-3356 -
Zimmerman, Jennifer Lee
1441 Florida Ave. , Modesto CA 95352