Shane Hicks, IDC

Individual Active
NPI 1467550616
Independent Duty Corpsman Fpo, AP

Shane Hicks, IDC holds NPI 1467550616, with a primary taxonomy of independent duty corpsman and a practice location in Fpo, AP. The number was issued on September 20, 2006 and the NPPES record was last updated on July 21, 2022.

Taxonomies and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002X Not listed

Practice location

Uss Kentucky (Ssbn 737)(BLUE)
Fpo, AP 96698-2126
Phone: (360) 315-4204

Local context

The same primary taxonomy is listed by 264 in AP and 3,581 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Shane C Hicks
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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