Hickman, Derwin L

Hickman, Derwin L is an sole proprietor health care provider with primary practice located at 4825 S Laburnum Ave , Richmond VA 23231-2713. 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. Hickman, Derwin L can be contacted via phone (804) 328-1790.

Contact Information

Primary practice address
4825 S Laburnum Ave Richmond VA 23231-2713
Phone: (804) 328-1790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 792-02-033 Virginia

Profile Details

NPI number 1689307944
LBN Legal business name Hickman, Derwin L
Credentials M. DIV, QMHP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2022
Last updated Jul 5th, 2022 - about 4 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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