Hickman, David

Hickman, David is an individual health care provider with primary practice located at 2331 Progress St Suite D, West Branch MI 48661-9384. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Hickman, David can be contacted via phone (989) 345-1184.

Contact Information

Primary practice address
2331 Progress St Suite D West Branch MI 48661-9384
Phone: (989) 345-1184
Fax: (989) 345-6944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704082187 Michigan

Profile Details

NPI number 1457383119
LBN Legal business name Hickman, David
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jan 27th, 2009 - about 17 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 1457383119 NPPES
Michigan MEDICAID 4747184
Michigan MEDICAID 4747193
Michigan Other 5008768480
Michigan Other 700G210140

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