Woodbeck, Terry E Hicks

Woodbeck, Terry E Hicks is an individual health care provider with primary practice located at 13055 W Mcdowell Rd Suite E-106, Avondale AZ 85392-6449. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Woodbeck, Terry E Hicks can be contacted via phone (623) 975-8400.

Contact Information

Primary practice address
13055 W Mcdowell Rd Suite E-106 Avondale AZ 85392-6449
Fax: (623) 935-2975
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27780 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27780 Arizona

Profile Details

NPI number 1891706875
LBN Legal business name Woodbeck, Terry E Hicks
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jun 8th, 2015 - about 11 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 1891706875 NPPES
Arizona MEDICAID 486581

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