Paige Jennifer Hickson in Portage - Medical
Paige Jennifer Hickson - NPI 1568425973
Paige Jennifer Hickson is a Medical in Portage, Michigan. Paige Jennifer Hickson practices all healthcare services and medical treatments related to Medical. The NPI Number for Paige Jennifer Hickson is 1568425973. The last update date is 2017-07-10.
Paige Jennifer Hickson's current location address is 6100 Newport Rd Ste 100, Portage, Michigan. You can contact this provider via phone number 2693434679 and fax number 2693435929. The mailing address for Paige Jennifer Hickson is 6100 Newport Rd Ste 100, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paige Jennifer Hickson |
|---|---|
| Address | 6100 Newport Rd Ste 100, Portage, Michigan |
| Phone Number | 2693434679 |
| Fax Number | 2693435929 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1568425973 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2017-07-10 |
Provider Mailing Address Detail
| Address | 6100 Newport Rd Ste 100 |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490029235 |
| Phone Number | 2693434679 |
| Fax Number | 2693435929 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5601004610 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique provider identifier assigned to Paige Jennifer Hickson?
The Paige Jennifer Hickson has been issued the NPI (National Provider Identifier) 1568425973 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Paige Jennifer Hickson?
The Paige Jennifer Hickson is situated at 6100 Newport Rd Ste 100, in the city of Portage, state of MI, with the zip code 490029235.
What is Paige Jennifer Hickson's area of expertise and its corresponding taxonomy classification?
The Paige Jennifer Hickson's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1568425973 assigned to Paige Jennifer Hickson?
The Paige Jennifer Hickson was issued its 1568425973 on 2006-04-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Paige Jennifer Hickson's information last updated?
The Paige Jennifer Hickson's information was last updated on 2017-07-10.
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