Hicks, Dorothy E

Hicks, Dorothy E is an individual health care provider with primary practice located at 503 W College St , Florence AL 35630-5311. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hicks, Dorothy E can be contacted via phone (256) 767-1779.

Contact Information

Primary practice address
503 W College St Florence AL 35630-5311
Phone: (256) 767-1779
Fax: (256) 767-1780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9819 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.1504 Alabama

Profile Details

NPI number 1396717823
LBN Legal business name Hicks, Dorothy E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jan 15th, 2021 - about 5 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 1396717823 NPPES
Minnesota MEDICAID 560079100

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