Jason T Hicks is a Medical in Kalkaska, Michigan. Jason T Hicks practices all healthcare services and medical treatments related to Medical. The NPI Number for Jason T Hicks is 1215931720. The last update date is 2021-04-16.
Jason T Hicks's current location address is 419 S Coral St, Kalkaska, Michigan. You can contact this provider via phone number 2312587500 and fax number 2312587527. The mailing address for Jason T Hicks is 419 S Coral St, Kalkaska, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason T Hicks |
|---|---|
| Address | 419 S Coral St, Kalkaska, Michigan |
| Phone Number | 2312587500 |
| Fax Number | 2312587527 |
| Sole Proprietor | N |
| Credentials | PCC |
NPI Number Detail
| NPI Number | 1215931720 |
|---|---|
| Provider Enumeration Date | 2005-06-13 |
| Last Updated Date | 2021-04-16 |
Provider Mailing Address Detail
| Address | 419 S Coral St |
|---|---|
| City | Kalkaska |
| State | Michigan (MI) |
| Post Code | 4964625030 |
| Phone Number | 2312587500 |
| Fax Number | 2312587527 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5601003956 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5601003956 | MI | LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Jason T Hicks by the Centers for Medicare & Medicaid Services (CMS)?
The Jason T Hicks has been assigned the NPI (National Provider Identifier) 1215931720. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Jason T Hicks's facilities are geographically located?
The facilities of Jason T Hicks are physically situated at the following location: 419 S Coral St, Kalkaska, MI, 4964625030.
What is the Jason T Hicks's area of specialization and corresponding taxonomy classification?
The Jason T Hicks's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1215931720 to Jason T Hicks?
The Centers for Medicare & Medicaid Services assigned the 1215931720 to Jason T Hicks on 2005-06-13.
As of what date were the details related to Jason T Hicks most recently updated or revised?
The information pertaining to Jason T Hicks, including its address, specialty, and other relevant details, was last updated or revised on 2021-04-16.