Hickson, Meredith Rose

Hickson, Meredith Rose is an individual health care provider with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104-4319. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hickson, Meredith Rose can be contacted via phone (215) 590-1000.

Contact Information

Primary practice address
3401 Civic Center Blvd Philadelphia PA 19104-4319
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301512126 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MT215015 Pennsylvania

Profile Details

NPI number 1548753619
LBN Legal business name Hickson, Meredith Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2018
Last updated May 29th, 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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