Mr. Jason T Hicks, PCC
Mr. Jason T Hicks, PCC is a Medical Physician Assistant in Kalkaska, Michigan. Licensed in Michigan. Registered with an NPI since 2005.
- Licensed in
- MI
- In the registry since
- 2005
Practice location Address checks out
419 S Coral StKalkaska, MI 49646-2503
Phone: (231) 258-7500
Fax: (231) 258-7527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 5601003956 (MI) |
|---|
Record details
| NPI number | 1215931720 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PCC |
| Sole proprietor | No |
| NPI enumerated | June 13, 2005 |
| Last updated in NPPES | April 16, 2021 |
| Certification date | April 16, 2021 |
Other providers in Kalkaska
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Eric Covert, PA-C
419 S Coral St, Kalkaska, MI 49646-2503 · (231) 258-7777