Individual
GLENN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
2125 STATE ST STE 6, NEW ALBANY, IN 47150-4972
(812) 949-5790
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4924
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
157916
IN
246ZS0410X
Surgical Technologist
95136
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95136
CST CERTIFICATION
IN
Enumeration date
08/11/2006
Last updated
05/31/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us