Hicks, Matthew Ryan
Hicks, Matthew Ryan is an individual health care provider with primary practice located at 1650 Cochrane Cir , Fort Carson CO 80913-4613. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Hicks, Matthew Ryan can be contacted via phone (205) 267-9694.Contact Information
Primary practice address
1650 Cochrane Cir
Fort Carson CO 80913-4613
Phone: (205) 267-9694
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1508101627 |
|---|---|
| LBN Legal business name | Hicks, Matthew Ryan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2012 |
| Last updated | Oct 21st, 2016 - about 10 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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