Peter G Hickox in Stockton - Specialist

Peter G Hickox - NPI 1962401810

Peter G Hickox is a Specialist in Stockton, California. Peter G Hickox practices all healthcare services and medical treatments related to Specialist. The NPI Number for Peter G Hickox is 1962401810. The last update date is 2013-08-21.

Peter G Hickox's current location address is 420 W Acacia St, Stockton, California. You can contact this provider via phone number 2099484098 and fax number 2099482334. The mailing address for Peter G Hickox is 420 W Acacia St, Stockton, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter G Hickox
Address 420 W Acacia St, Stockton, California
Phone Number 2099484098
Fax Number 2099482334
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1962401810
Provider Enumeration Date 2005-07-21
Last Updated Date 2013-08-21

Provider Mailing Address Detail

Address 420 W Acacia St
City Stockton
State California (CA)
Post Code 952032441
Phone Number 2099484098
Fax Number 2099482334

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G86782
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G867820 CA --
911803606 CA TAX ID

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FAQs about Peter G Hickox

What is the unique 10-digit identifier code assigned to Peter G Hickox by the Centers for Medicare & Medicaid Services?

The Peter G Hickox has been issued the NPI (National Provider Identifier) 1962401810 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Peter G Hickox's facilities are geographically located?

The facilities of Peter G Hickox are physically situated at the following location: 420 W Acacia St, Stockton, CA, 952032441.

What is Peter G Hickox's area of expertise and its corresponding taxonomy classification?

The Peter G Hickox's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1962401810 to Peter G Hickox?

The Peter G Hickox received its 1962401810 assignment from the Centers for Medicare & Medicaid Services on 2005-07-21.

When was the information regarding Peter G Hickox, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Peter G Hickox, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-08-21.

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