Hickey, Samuel
Hickey, Samuel is an individual health care provider with primary practice located at 42440 Pelican Professional Park , Hammond LA 70403-2403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hickey, Samuel can be contacted via phone (985) 542-4950.Contact Information
Primary practice address
42440 Pelican Professional Park
Hammond LA 70403-2403
Phone: (985) 542-4950
Fax: (985) 542-6089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 024236 | Louisiana |
Profile Details
| NPI number | 1205835717 |
|---|---|
| LBN Legal business name | Hickey, Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Nov 17th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205835717 | NPPES |
| Louisiana | MEDICAID | 1489786 |
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