Hickam, Cecilia Jo
Hickam, Cecilia Jo is an individual health care provider with primary practice located at 1121 E. State Street Suite - 102-D, Eagle ID 83616. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Hickam, Cecilia Jo can be contacted via phone (208) 584-9060.Contact Information
Primary practice address
1121 E. State Street Suite - 102-D
Eagle ID 83616
Phone: (208) 584-9060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH-0356-EA | Idaho |
Profile Details
| NPI number | 1376940668 |
|---|---|
| LBN Legal business name | Hickam, Cecilia Jo |
| Credentials | RDH-EA, OMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2014 |
| Last updated | Dec 2nd, 2014 - about 12 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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