Michael Joe Hicks AU.D,CCC-A

NPI 1417142449 - Hearing Instrument Specialist - 237700000X

NPI Details
NPI 1417142449
Gender Male
Enumeration Date 09/12/2007
Last Updated 07/20/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
28 CHICK ST
METROPOLIS IL, 62960-2467, US
Phone (618) 638-4913
Fax (618) 564-3206
Business Location
38 WESLEY DR
METROPOLIS IL, 62960-6032, US
Phone (618) 638-4913
Fax (618) 564-3206
Toxanomy
Taxonomy Code 237700000X
License State Illinois
License Number 147000631
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According to our database, Dr. Michael Joe Hicks AU.D,CCC-A NPI is 1417142449, taxonomy code is 237700000X and license number is 147000631, license state is located at Illinois. Michael Joe Hicks AU.D,CCC-A physically located at 28 Chick St, Metropolis IL, 62960-2467. NPI Number Michael Joe Hicks AU.D,CCC-A has the Individual type.

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1417142449 NPI number is provided on an as is basis without warranty of any kind. 1417142449 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Joe Hicks AU.D,CCC-A are for informational purposes only.