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Contact Information

GLENN HICKS, CSFA
2125 STATE ST STE 6
NEW ALBANY, IN47150-4972
 Phone: 812-949-5790
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for GLENN HICKS · (Male)

NPI # 1447261656
Status Active
Credentials CSFA
Entity Individual
Enumeration date 08/11/2006
Last updated 05/31/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 157916
  • IN License # 95136
  • IN Other 95136 CST CERTIFICATION
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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