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Contact Information

ALFRED K HICKS JR, DO
512 SAYBROOK RD
STE 100
MIDDLETOWN, CT06457-4788
 Phone: 860-347-7636
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ALFRED K HICKS JR · (Male)

NPI Number 1376744565
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/29/2007
Last updated 07/01/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 54330
  • KY License # 02959
  • NH License # 16410
  • NY License # 240996
Hospital affiliation(s)
  • MIDDLESEX HOSPITAL - (Acute Care)
    28 CRESCENT ST
    MIDDLETOWN, CT 06457
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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