Gilmore-Hicks, Brenda L.
Gilmore-Hicks, Brenda L. is an sole proprietor health care provider with primary practice located at 400 N Center Dr Bldg 3 124, Norfolk VA 23502-4004. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gilmore-Hicks, Brenda L. can be contacted via phone (757) 227-3072.Contact Information
Primary practice address
400 N Center Dr Bldg 3 124
Norfolk VA 23502-4004
Phone: (757) 227-3072
Fax: (757) 227-3212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904004800 | Virginia |
Profile Details
| NPI number | 1043373186 |
|---|---|
| LBN Legal business name | Gilmore-Hicks, Brenda L. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | May 14th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043373186 | NPPES |
| Virginia | MEDICAID | 010259223 |
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