Hickman, Jerry Richard
Hickman, Jerry Richard is an individual health care provider with primary practice located at 8001 Shelby St Suite 1, Indianapolis IN 46227-5970. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Hickman, Jerry Richard can be contacted via phone (317) 888-7807.Contact Information
Primary practice address
8001 Shelby St Suite 1
Indianapolis IN 46227-5970
Phone: (317) 888-7807
Fax: (317) 888-0083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 12006199A | Indiana |
Profile Details
| NPI number | 1780879981 |
|---|---|
| LBN Legal business name | Hickman, Jerry Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2007 |
| Last updated | Sep 11th, 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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