Individual
GEORGE WILLIAM HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7440 N SHADELAND AVE, STE 150, INDIANAPOLIS, IN 46250-2095
(317) 842-4901
(317) 842-4393
Mailing address
7440 N SHADELAND AVE, STE 150, INDIANAPOLIS, IN 46250-2095
(317) 842-4901
(317) 842-4393
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
01026461A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091198
ANTHEM PROVIDER NUMBER
IN
01
—
1028041
CIGNA PROVIDER NUMBER
IN
01
—
211177
HEALTHLINK PROVIDER NUMBE
IN
01
—
4004243
AETNA PROVIDER NUMBER
IN
Enumeration date
05/27/2005
Last updated
07/08/2007
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