Provider Demographics
NPI:1538243696
Name:HINCEMAN, MARCUS TODD (NP)
Entity type:Individual
Prefix:
First Name:MARCUS
Middle Name:TODD
Last Name:HINCEMAN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:74 8TH ST SE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-1130
Mailing Address - Country:US
Mailing Address - Phone:828-322-1498
Mailing Address - Fax:828-322-2835
Practice Address - Street 1:74 8TH ST SE
Practice Address - Street 2:SUITE 101
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-1130
Practice Address - Country:US
Practice Address - Phone:828-322-1498
Practice Address - Fax:828-322-2835
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2014-11-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9600522084N0400X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP83032Medicare UPIN
NC2807777Medicare ID - Type Unspecified