Hickinbotham, Alex Michael

Hickinbotham, Alex Michael is an sole proprietor health care provider with primary practice located at 680 Park Ave W , Mansfield OH 44906-3706. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Hickinbotham, Alex Michael can be contacted via phone (419) 528-5993.

Contact Information

Primary practice address
680 Park Ave W Mansfield OH 44906-3706
Phone: (419) 528-5993
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 141590 Ohio

Profile Details

NPI number 1790226264
LBN Legal business name Hickinbotham, Alex Michael
Credentials CDCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2017
Last updated Mar 16th, 2017 - about 9 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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