Hicks, Desak G

Hicks, Desak G is an sole proprietor health care provider with primary practice located at 873 Highway 84 , Coffeeville AL 36524-5012. He recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is his primary health care specialty. Hicks, Desak G can be contacted via phone (251) 276-3400.

Contact Information

Primary practice address
873 Highway 84 Coffeeville AL 36524-5012
Phone: (251) 276-3400
Fax: (251) 276-3562
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy Service Providers / Pharmacist 183500000X 11671 Alabama
Suppliers / Community/Retail Pharmacy 3336C0003X 113345 Alabama

Profile Details

NPI number 1396981312
LBN Legal business name Hicks, Desak G
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2008
Last updated Mar 21st, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396981312 NPPES
Alabama MEDICAID 009501290

Popular Providers