Most Relevant Information
Provider Data
| NPI Number: | 1003042060 |
| Provider Name: | REBEKAH E HICKS PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 01346 |
Most Important Dates
| Enumeration Date: | 06/04/2009 |
| Last Updated: | 07/25/2024 |
Provider Practice Location
138 WEBSTER STREET
MANCHESTER
NH
03104
Practice Location Phone/Fax
| Phone: | 6036455977 |
| Fax: | 6036455980 |
Provider Mailing Location
P.O. BOX 3300
MANCHESTER
NH
03105
Provider Mailing Phone/Fax
| Phone: | 6036455977 |
| Fax: | 6036455980 |