Hicks, Heather L

Hicks, Heather L is an sole proprietor health care provider with primary practice located at 4020 W Florida Ave , Hemet CA 92545-5279. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hicks, Heather L can be contacted via phone (951) 925-9565.

Contact Information

Primary practice address
4020 W Florida Ave Hemet CA 92545-5279
Phone: (951) 925-9565
Fax: (951) 766-7621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C54166 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9891 North Dakota

Profile Details

NPI number 1255328886
LBN Legal business name Hicks, Heather L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2005
Last updated Jan 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255328886 NPPES
North Dakota MEDICAID 13420

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