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Contact Information

RONNIE HICKS
9600 CENTRAL AVE SW TRLR 148
ALBUQUERQUE, NM87121-7681
 Phone: 562-507-5687
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
 

Case Manager/Care Coordinator

171M00000X
 

Driver

172A00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Specialist/Technologist

235500000X
Indicates primary specialty

NPI Profile & details for RONNIE HICKS · (Male)

NPI Number 1396168548
Status Active
Credentials
Entity Individual
Enumeration date 01/23/2014
Last updated 02/05/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 171M0000X
  • NM License # 225X0000X
  • NM License # 23550000X
  • NM License # 374U0000X
Hospital affiliation(s) Not Available
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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