Martin, Suzanne Hicks

Martin, Suzanne Hicks is an individual health care provider with primary practice located at 809 University Blvd E , Tuscaloosa AL 35401-2029. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Martin, Suzanne Hicks can be contacted via phone (205) 759-7484.

Contact Information

Primary practice address
809 University Blvd E Tuscaloosa AL 35401-2029
Fax: (205) 750-5224
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 28000 Alabama

Profile Details

NPI number 1609969252
LBN Legal business name Martin, Suzanne Hicks
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Sep 28th, 2010 - about 14 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 1609969252 NPPES
Alabama MEDICAID 1609969252

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