Hicks, Michael J
Hicks, Michael J is an individual health care provider with primary practice located at 4000 Route 130 Bldg C , Delran NJ 08075-2414. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hicks, Michael J can be contacted via phone (856) 705-0685.Contact Information
Primary practice address
4000 Route 130 Bldg C
Delran NJ 08075-2414
Phone: (856) 705-0685
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD023250E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA09803100 | New Jersey |
Profile Details
| NPI number | 1245232198 |
|---|---|
| LBN Legal business name | Hicks, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Feb 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245232198 | NPPES |
| Pennsylvania | MEDICAID | 0008913770010 |
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