Hickman, John Benton
Hickman, John Benton is an individual health care provider with primary practice located at 1215 Lee St , Charlottesville VA 22908-0816. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Hickman, John Benton can be contacted via phone (434) 243-3090.Contact Information
Primary practice address
1215 Lee St
Charlottesville VA 22908-0816
Phone: (434) 243-3090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2021013944 | Missouri |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 2021013944 | Missouri |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 0116036188 | Virginia |
Profile Details
| NPI number | 1790279842 |
|---|---|
| LBN Legal business name | Hickman, John Benton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2018 |
| Last updated | Feb 27th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790279842 | NPPES |
| Missouri | MEDICAID | 200060789 |
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