Hickman, Jon Wesley

Hickman, Jon Wesley is an sole proprietor health care provider with primary practice located at 410 W J St , Tehachapi CA 93561-1411. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Hickman, Jon Wesley can be contacted via phone (661) 750-0438.

Contact Information

Primary practice address
410 W J St Tehachapi CA 93561-1411
Phone: (661) 750-0438
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15484 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1598445231
LBN Legal business name Hickman, Jon Wesley
Credentials SUDRC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2023
Last updated Sep 16th, 2024 - about 2 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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