Hicks, Ellen

Hicks, Ellen is an individual health care provider with primary practice located at 901 Somerby Dr , Mobile AL 36695-3490. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Hicks, Ellen can be contacted via phone (251) 633-4447.

Contact Information

Primary practice address
901 Somerby Dr Mobile AL 36695-3490
Fax: (251) 633-4141
Website:

Health care specialties

Profile Details

NPI number 1689066979
LBN Legal business name Hicks, Ellen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2015
Last updated Feb 24th, 2015 - about 11 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 1689066979 NPPES
Alabama Other 1003819608 GROUP NPI
Alabama MEDICAID 529917620 GROUP NPI

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