# PAULA ANN HICKS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407859341
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 19498 | NE | — |
| 207W00000X | Ophthalmology Physician | 3820 | SD | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 11/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0003388 | SD WELLMARK BLUE SHIELD | SD |
| 01 | — | 22053 | NE BLUE SHIELD | NE |
| 05 | — | 36-3050195-13 | — | SD |
| 05 | — | 36-3050195-14 | — | NE |
| 01 | — | 3820 | DAKOTACARE PROVIDER ID | SD |
| 05 | — | 6300100 | — | SD |
| 01 | — | NA1114001 | NE MEDICARE PTAN NORFOLK, NE | NE |
| 01 | — | NA1115001 | NE MEDICARE PTAN WAYNE, NE | NE |