Hicks, Larry W.
Hicks, Larry W. is an sole proprietor health care provider with primary practice located at 900 N Sumner Ave , Creston IA 50801-1351. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hicks, Larry W. can be contacted via phone (641) 782-5970.Contact Information
Primary practice address
900 N Sumner Ave
Creston IA 50801-1351
Phone: (641) 782-5970
Fax: (641) 782-2756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 01473 | Iowa |
Profile Details
| NPI number | 1801905302 |
|---|---|
| LBN Legal business name | Hicks, Larry W. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Feb 1st, 2010 - about 15 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 | 1801905302 | NPPES |
| Iowa | MEDICAID | 0050625 |
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