Hicks, Stacey

Hicks, Stacey is an individual health care provider with primary practice located at 55 Main St , Lancaster NH 03584-3027. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Hicks, Stacey can be contacted via phone (603) 586-4100.

Contact Information

Primary practice address
55 Main St Lancaster NH 03584-3027
Phone: (603) 586-4100
Fax: (603) 444-0473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1987 New Hampshire
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1987 New Hampshire

Profile Details

NPI number 1235243841
LBN Legal business name Hicks, Stacey
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Nov 7th, 2023 - about 2 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 1235243841 NPPES
New Hampshire MEDICAID 30390311

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