Hickerson, Robin L

Hickerson, Robin L is an individual health care provider with primary practice located at 307 E Sevier St , Benton AR 72015-3934. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Hickerson, Robin L can be contacted via phone (501) 315-4224.

Contact Information

Primary practice address
307 E Sevier St Benton AR 72015-3934
Phone: (501) 315-4224
Fax: (501) 778-0450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G6424 Arkansas
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X C-6423 Arkansas

Profile Details

NPI number 1851379218
LBN Legal business name Hickerson, Robin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Mar 9th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851379218 NPPES
Arkansas MEDICAID 114908001
Arkansas MEDICAID 116381726

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