Hickey, Gregory G

Hickey, Gregory G is an individual health care provider with primary practice located at 30575 Bainbridge Rd Ste 200 , Cleveland OH 44139-2275. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Hickey, Gregory G can be contacted via phone (440) 542-5000.

Contact Information

Primary practice address
30575 Bainbridge Rd Ste 200 Cleveland OH 44139-2275
Fax: (440) 542-5005
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 003908 Ohio
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 34-003908 Ohio

Profile Details

NPI number 1457391005
LBN Legal business name Hickey, Gregory G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated May 30th, 2024 - about 2 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 1457391005 NPPES
Ohio MEDICAID 0841325
Ohio Other 290008878

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