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Individual
RONALD KEVIN HICSWA
Active
Individual
RONALD KEVIN HICSWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1566381
GATEWAY HEALTH PLAN
—
01
—
2038212
UNITED HEALTHCARE
—
01
—
2070657
HIGHMARK BLUE SHIELD
—
01
—
2274244000
AMERIHEALTH
—
01
—
40QA00900000
LICENSE
NJ
01
—
47241
GEISINGER HEALTH PLAN
—
01
—
50081231
CAPITAL BLUE CROSS
—
01
—
6687993
AETNA HMO
—
01
—
9261208
AETNA PPO
—
01
—
PT018323
STATE PT LICENSE
PA
Enumeration date
08/30/2006
Last updated
12/22/2008
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