Hicks, Michael J

Hicks, Michael J is an individual health care provider with primary practice located at 4000 Route 130 Bldg C , Delran NJ 08075-2414. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hicks, Michael J can be contacted via phone (856) 705-0685.

Contact Information

Primary practice address
4000 Route 130 Bldg C Delran NJ 08075-2414
Phone: (856) 705-0685
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD023250E Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA09803100 New Jersey

Profile Details

NPI number 1245232198
LBN Legal business name Hicks, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Feb 9th, 2022 - about 3 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 1245232198 NPPES
Pennsylvania MEDICAID 0008913770010

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