Hickman, Leonard A.
Hickman, Leonard A. is an individual health care provider with primary practice located at 230 E Day Rd Ste 160, Mishawaka IN 46545-3463. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Hickman, Leonard A. can be contacted via phone (574) 271-8222.Contact Information
Primary practice address
230 E Day Rd Ste 160
Mishawaka IN 46545-3463
Phone: (574) 271-8222
Fax: (574) 271-8896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 20040609A | Indiana |
Profile Details
| NPI number | 1699770529 |
|---|---|
| LBN Legal business name | Hickman, Leonard A. |
| Credentials | PH.D, H.S.P.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| 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 | 1699770529 | NPPES |
| Indiana | Other | 20040609A | STATE LICENSE |
| Indiana | Other | 000000336157 | STATE LICENSE |
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