Hicks, Allyson D.

Hicks, Allyson D. is an individual health care provider with primary practice located at 215 Toll Gate Rd Suite 104, Warwick RI 02886-4458. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hicks, Allyson D. can be contacted via phone (401) 737-9240.

Contact Information

Primary practice address
215 Toll Gate Rd Suite 104 Warwick RI 02886-4458
Phone: (401) 737-9240
Fax: (401) 739-6413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 08394MD Rhode Island

Profile Details

NPI number 1417014804
LBN Legal business name Hicks, Allyson D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 19 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 1417014804 NPPES
Rhode Island MEDICAID AH01324

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