Hickernell, Elise L
Hickernell, Elise L is an individual health care provider with primary practice located at 8701 Troy Pike Ste 220 , Huber Heights OH 45424-1188. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Hickernell, Elise L can be contacted via phone (937) 558-3338.Contact Information
Primary practice address
8701 Troy Pike Ste 220
Huber Heights OH 45424-1188
Phone: (937) 558-3338
Fax: (937) 558-3327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT017542 | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | DAPT002641 | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | RT003841 | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT016068 | Ohio |
Profile Details
| NPI number | 1154314003 |
|---|---|
| LBN Legal business name | Hickernell, Elise L |
| Credentials | PT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Jul 24th, 2023 - about last year |
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 | 1154314003 | NPPES |
| Pennsylvania | MEDICAID | 101663154 0004 | |
| Pennsylvania | MEDICAID | 101663154 0005 | |
| Pennsylvania | Other | 265998 | |
| Pennsylvania | MEDICAID | 101663154 0003 | |
| Pennsylvania | Other | P00245501 | |
| Pennsylvania | MEDICAID | 101663154 0001 | |
| Pennsylvania | MEDICAID | 101663154 0002 | |
| Pennsylvania | MEDICAID | 101663154 0006 | |
| Pennsylvania | MEDICAID | 101663154 0007 | |
| Pennsylvania | Other | 1746213 |
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