Provider Demographics
NPI:1952127516
Name:HICKS, ERIC ARTHUR
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:ARTHUR
Last Name:HICKS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 TWEED WAY
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-5906
Mailing Address - Country:US
Mailing Address - Phone:202-391-3156
Mailing Address - Fax:
Practice Address - Street 1:4925 LEE ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-4050
Practice Address - Country:US
Practice Address - Phone:202-521-3481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-28
Last Update Date:2024-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant