Holmes, Katashia Hicks
Holmes, Katashia Hicks is an individual health care provider with primary practice located at 1367 Jameson Ln , Lawrenceville GA 30043-8217. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Holmes, Katashia Hicks can be contacted via phone (912) 492-8408.Contact Information
Primary practice address
1367 Jameson Ln
Lawrenceville GA 30043-8217
Phone: (912) 492-8408
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN012868 | Georgia |
Profile Details
| NPI number | 1821063058 |
|---|---|
| LBN Legal business name | Holmes, Katashia Hicks |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Feb 6th, 2009 - about 17 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 | 1821063058 | NPPES |
| Georgia | MEDICAID | 9180176 | |
| Georgia | MEDICAID | 199726296E | |
| Georgia | MEDICAID | 199726296F | |
| Georgia | MEDICAID | 199726296A |
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