Individual
FRED G. HICKS
Active
Individual
FRED G. HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R7D14
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100730
HEALTHLINK
MO
01
—
1581541
UNITED HEALTHCARE
MO
01
—
17058
BLUE CROSS BLUE SHIELD
MO
05
—
202118311
—
MO
01
—
260006282
RR MEDICARE
MO
Enumeration date
08/30/2006
Last updated
10/14/2009
Update your record
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