Fickett, David

Fickett, David is an individual health care provider with primary practice located at 3601 W 13 Mile Rd , Royal Oak MI 48073-6712. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Fickett, David can be contacted via phone (248) 898-4021.

Contact Information

Primary practice address
3601 W 13 Mile Rd Royal Oak MI 48073-6712
Phone: (248) 898-4021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-850 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00051 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2243 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601012193 Michigan

Profile Details

NPI number 1942213061
LBN Legal business name Fickett, David
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated May 3rd, 2024 - about last year

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 1942213061 NPPES
Texas MEDICAID 200304802

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