Barbara L Hicks, DC

Individual provider Active NPI Chiropractor · Kingsford, MI

NPI 1295785459 · NPPES record last updated Jan 13, 2017

Key facts

NPI
1295785459
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
2301007282 (MI)
Practice address
815 Pyle Drive
Family Chiropractic Clinic PC
Kingsford, MI 49802-4454
Phone
(906) 774-4911
Fax
(906) 776-1778
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractic Clinic PC (3 clinicians)

Practice addresses (Care Compare)

815 Pyle Dr
Kingsford, MI 49802-4454
Phone (906) 774-4911

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120410000656 MI Practitioner - Chiropractic 5991966533 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2301007282MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Clinic PC Chiropractor Current
since Dec 27, 2011
Accepting new patients

Locations

815 Pyle Dr
Kingsford, MI 49802
Phone (906) 774-4911

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007282 MI Yes

Addresses

Primary practice location

815 Pyle Drive
Family Chiropractic Clinic PC
Kingsford, MI 49802-4454

Mailing address

815 Pyle Drive
Family Chiropractic Clinic PC
Kingsford, MI 49802-4454
Phone (906) 774-4911

Other providers in Kingsford, MI

All providers in Kingsford, MI · Chiropractor in Michigan

Sources for this page

Verify at the official NPI Registry.