Hickman, John Roger
Hickman, John Roger is an individual health care provider with primary practice located at 199 12Th Street Ext , Princeton WV 24740-2352. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Hickman, John Roger can be contacted via phone (304) 425-2188.Contact Information
Primary practice address
199 12Th Street Ext
Princeton WV 24740-2352
Phone: (304) 425-2188
Fax: (304) 425-2189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 5286 | West Virginia |
Profile Details
| NPI number | 1174616494 |
|---|---|
| LBN Legal business name | Hickman, John Roger |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174616494 | NPPES |
| West Virginia | Other | NABP | 50033778 |
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