Hickenbottom, Laura

Hickenbottom, Laura is an individual health care provider with primary practice located at 611 W. Park St. Neonatology, Urbana IL 61801-2500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Hickenbottom, Laura can be contacted via phone (217) 383-3266.

Contact Information

Primary practice address
611 W. Park St. Neonatology Urbana IL 61801-2500
Phone: (217) 383-3266
Fax: (217) 383-3463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 2014040196 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 209014221 Illinois

Profile Details

NPI number 1043617665
LBN Legal business name Hickenbottom, Laura
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2014
Last updated Dec 10th, 2021 - about 4 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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