Hickman, Jennifer Ann

Hickman, Jennifer Ann is an individual health care provider with primary practice located at 611 W. Park St. , Urbana IL 61801-2500. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Hickman, Jennifer Ann can be contacted via phone (217) 383-3303.

Contact Information

Primary practice address
611 W. Park St. Urbana IL 61801-2500
Phone: (217) 383-3303
Fax: (217) 383-3265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 48920020 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 48920 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 036138744 Illinois

Profile Details

NPI number 1043399967
LBN Legal business name Hickman, Jennifer Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Oct 2nd, 2015 - about 11 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 1043399967 NPPES
Wisconsin MEDICAID 1043399967

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