Hicks, Todd L

Hicks, Todd L is an individual health care provider with primary practice located at 580 Lincoln Park Blvd Ste 300, Dayton OH 45429-3474. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Hicks, Todd L can be contacted via phone (937) 396-8001.

Contact Information

Primary practice address
580 Lincoln Park Blvd Ste 300 Dayton OH 45429-3474
Phone: (937) 396-8001
Fax: (937) 396-8003
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35-08-5868 Ohio
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 35.085868 Ohio

Profile Details

NPI number 1326054073
LBN Legal business name Hicks, Todd L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Oct 4th, 2019 - about 7 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 1326054073 NPPES
Ohio MEDICAID 2665174

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