Brent Hicks is a Rehabilitation in Michigan City, Indiana. Brent Hicks practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Brent Hicks is 1073656534. The last update date is 2011-09-30.
Brent Hicks's current location address is 501 W Kieffer Rd # 400n, Michigan City, Indiana. You can contact this provider via phone number 2198792177. The mailing address for Brent Hicks is 501 W Kieffer Rd # 400n, Michigan City, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Hicks |
|---|---|
| Address | 501 W Kieffer Rd # 400n, Michigan City, Indiana |
| Phone Number | 2198792177 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1073656534 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2011-09-30 |
Provider Mailing Address Detail
| Address | 501 W Kieffer Rd # 400n |
|---|---|
| City | Michigan City |
| State | Indiana (IN) |
| Post Code | 463609580 |
| Phone Number | 2198792177 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 111Nr0400X |
| Licence No | 08001324A |
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Definition: Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200431860A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Brent Hicks by the Centers for Medicare & Medicaid Services?
The Brent Hicks has been assigned the NPI (National Provider Identifier) 1073656534 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Brent Hicks located?
The Brent Hicks is located at 501 W Kieffer Rd # 400N, Michigan City, IN 463609580.
What is the Brent Hicks's area of specialization and corresponding taxonomy classification?
The Brent Hicks's specialty field is Rehabilitation, and it falls under the taxonomy code 111Nr0400X, which categorizes healthcare providers based on their specialties.
On what date did the Brent Hicks receive its 1073656534 assignment from the Centers for Medicare & Medicaid Services?
The Brent Hicks was assigned its 1073656534 by the Centers for Medicare & Medicaid Services on 2007-02-15.
As of what date were the details pertaining to Brent Hicks last refreshed?
The information related to the Brent Hicks, including its address, specialty, and other relevant details, was last updated on 2011-09-30.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN