Hicks, Thomas V

Hicks, Thomas V is an individual health care provider with primary practice located at 900 American Blvd E Suite 201, Bloomington MN 55420-1392. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Hicks, Thomas V can be contacted via phone (952) 854-2622.

Contact Information

Primary practice address
900 American Blvd E Suite 201 Bloomington MN 55420-1392
Phone: (952) 854-2622
Fax: (952) 854-3293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP 4530 Minnesota

Profile Details

NPI number 1275589269
LBN Legal business name Hicks, Thomas V
Credentials PH.D., L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1275589269 NPPES
Minnesota Other 112341 HEALTHPARTNERS PROVIDER #
Minnesota Other 61-94690 HEALTHPARTNERS PROVIDER #
Minnesota Other 057G8HI HEALTHPARTNERS PROVIDER #

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