JEANNE KOISTINEN HICKS MD NPI 1033131206

NPI Information

NPI: 1033131206
Provider Name: JEANNE KOISTINEN HICKS, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
3346 LENNON ROAD
FLINT, MI
ZIP 48507
Phone: (810) 732-1919
Get Directions

Jeanne Koistinen Hicks, MD is a diagnostic radiology radiology in Flint, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jeanne Koistinen Hicks, MD NPI is 1033131206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3346 LENNON ROAD
FLINT, MI
ZIP 48507-015
Phone: (810) 732-1919
Fax: (810) 732-1945

The enumeration date for this NPI number is 7/24/2006 and was last updated on 8/23/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		4301048681	MICHIGAN	No
2	2085R0202X	Radiology	Diagnostic Radiology	4301048681	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F10164	MEDICARE UPIN
2	0989867	MEDICARE ID-TYPE UNSPECIFIED		MEDICARE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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