Hickman, James Murray

Hickman, James Murray is an individual health care provider with primary practice located at 516 Nizhoni Blvd , Gallup NM 87301-5748. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hickman, James Murray can be contacted via phone (505) 722-1253.

Contact Information

Primary practice address
516 Nizhoni Blvd Gallup NM 87301-5748
Phone: (505) 722-1253
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 119 Montana

Profile Details

NPI number 1336118371
LBN Legal business name Hickman, James Murray
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 9th, 2007 - about 19 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 1336118371 NPPES
Other 746779 AHCCCS NUMBER
Other 119 AHCCCS NUMBER
MEDICAID 18207031 AHCCCS NUMBER

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