Hicken, Max

Hicken, Max is an sole proprietor health care provider with primary practice located at 237 26Th St , Ogden UT 84401. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hicken, Max can be contacted via phone (801) 625-3700.

Contact Information

Primary practice address
237 26Th St Ogden UT 84401
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1932583325
LBN Legal business name Hicken, Max
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2015
Last updated May 29th, 2018 - about 8 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 1932583325 NPPES
Utah Other 260022408 RAILROAD MEDICARE
Utah MEDICAID 876000308007 RAILROAD MEDICARE

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