Hicks, Glenn

Hicks, Glenn is an individual health care provider with primary practice located at 2125 State St Ste 6 , New Albany IN 47150-4972. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Technologists, Technicians & Other Technical Service Providers / Surgical Technologist. Technologists, Technicians & Other Technical Service Providers / Surgical Assistant is his primary health care specialty. Hicks, Glenn can be contacted via phone (812) 949-5790.

Contact Information

Primary practice address
2125 State St Ste 6 New Albany IN 47150-4972
Phone: (812) 949-5790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 157916 Indiana
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 95136 Indiana

Profile Details

NPI number 1447261656
LBN Legal business name Hicks, Glenn
Credentials CSFA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated May 31st, 2022 - about 4 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 1447261656 NPPES
Indiana Other 95136 CST CERTIFICATION

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