Hicks, Larry

Hicks, Larry is an individual health care provider with primary practice located at 236 Martin St , Twin Falls ID 83301-4542. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hicks, Larry can be contacted via phone (208) 733-4444.

Contact Information

Primary practice address
236 Martin St Twin Falls ID 83301-4542
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1860 Idaho

Profile Details

NPI number 1669004412
LBN Legal business name Hicks, Larry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2020
Last updated Feb 10th, 2020 - about 6 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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