Hickox, Malcolm

Hickox, Malcolm is an individual health care provider with primary practice located at 1132 S 14Th St , Fernandina Beach FL 32034-2920. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hickox, Malcolm can be contacted via phone (904) 432-3061.

Contact Information

Primary practice address
1132 S 14Th St Fernandina Beach FL 32034-2920
Phone: (904) 432-3061
Fax: (904) 432-3062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3003 Florida

Profile Details

NPI number 1457385171
LBN Legal business name Hickox, Malcolm
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jun 9th, 2023 - about 3 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 1457385171 NPPES
Florida MEDICAID 290253200

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