Hicklin, Jonathan C
Hicklin, Jonathan C is an individual health care provider with primary practice located at 1565 Ebenezer Rd , Rock Hill SC 29732-1806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hicklin, Jonathan C can be contacted via phone (803) 328-0168.Contact Information
Primary practice address
1565 Ebenezer Rd
Rock Hill SC 29732-1806
Phone: (803) 328-0168
Fax: (803) 325-8473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 17919 | South Carolina |
Profile Details
| NPI number | 1811970478 |
|---|---|
| LBN Legal business name | Hicklin, Jonathan C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Dec 27th, 2013 - about 13 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 | 1811970478 | NPPES |
| South Carolina | MEDICAID | T21544 |
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