Hickok, Brian J.
Hickok, Brian J. is an individual health care provider with primary practice located at 980 W Ironwood Dr Ste 302, Coeur D Alene ID 83814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hickok, Brian J. can be contacted via phone (208) 292-5437.Contact Information
Primary practice address
980 W Ironwood Dr Ste 302
Coeur D Alene ID 83814
Phone: (208) 292-5437
Fax: (208) 292-5437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | M9558 | Idaho |
Profile Details
| NPI number | 1700821584 |
|---|---|
| LBN Legal business name | Hickok, Brian J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Sep 5th, 2012 - about 14 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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