Hicks, Shane C
Hicks, Shane C is an individual health care provider with primary practice located at Uss Kentucky (Ssbn 737)(Blue) , Fpo AP 96698-2126. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Hicks, Shane C can be contacted via phone (360) 315-4204.Contact Information
Primary practice address
Uss Kentucky (Ssbn 737)(Blue)
Fpo AP 96698-2126
Phone: (360) 315-4204
Fax: (360) 396-4247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1467550616 |
|---|---|
| LBN Legal business name | Hicks, Shane C |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 21st, 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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