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NPI Code Detail

MEDICARE: MARCHELL HICKS

MEDICARE:   MARCHELL  HICKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1972351732
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCHELL HICKS
Provider Business Mailing Address
First Line : 2722 S SAINT PETERS PKWY STE 3
Second Line :
City : SAINT PETERS
State : MO
Zip : 63303-6381
Country : US
Telephone Number : 314-643-1662
Fax Number :
Provider Business Practice Location Address
First Line : 2722 S SAINT PETERS PKWY STE 3
Second Line :
City : SAINT PETERS
State : MO
Zip : 63303-6381
Country : US
Telephone Number : 314-643-1662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2024
Last Update Date : 05/28/2024

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Directions to “ MARCHELL HICKS ” Practice Location

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