Hicks, Paula Ann

Hicks, Paula Ann is an individual health care provider with primary practice located at 415 W 3Rd St , Yankton SD 57078-4201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Hicks, Paula Ann can be contacted via phone (605) 665-9638.

Contact Information

Primary practice address
415 W 3Rd St Yankton SD 57078-4201
Phone: (605) 665-9638
Fax: (605) 665-0526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 3820 South Dakota
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 19498 Nebraska

Profile Details

NPI number 1407859341
LBN Legal business name Hicks, Paula Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Nov 4th, 2008 - about 17 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 1407859341 NPPES
Nebraska Other 22053 NE BLUE SHIELD
Nebraska MEDICAID 36-3050195-13 NE BLUE SHIELD
Nebraska Other NA1114001 NE BLUE SHIELD
Nebraska MEDICAID 36-3050195-14 NE BLUE SHIELD
Nebraska Other 3820 NE BLUE SHIELD
Nebraska MEDICAID 6300100 NE BLUE SHIELD
Nebraska Other 0003388 NE BLUE SHIELD
Nebraska Other NA1115001 NE BLUE SHIELD

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