Hicks, Mary

Hicks, Mary is an individual health care provider with primary practice located at 1 Ford Pl , Detroit MI 48202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hicks, Mary can be contacted via phone (800) 653-6568.

Contact Information

Primary practice address
1 Ford Pl Detroit MI 48202
Phone: (800) 653-6568
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704154971 Michigan

Profile Details

NPI number 1447241229
LBN Legal business name Hicks, Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 20th, 2018 - about 8 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 1447241229 NPPES
Michigan MEDICAID 1447241229

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