Hickerson, Adriene Alisa
Hickerson, Adriene Alisa is an sole proprietor health care provider with primary practice located at 301 Axis Dr Apt 207 , Louisville KY 40206-0127. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Hickerson, Adriene Alisa can be contacted via phone (502) 365-0698.Contact Information
Primary practice address
301 Axis Dr Apt 207
Louisville KY 40206-0127
Phone: (502) 365-0698
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X |
Profile Details
| NPI number | 1710538681 |
|---|---|
| LBN Legal business name | Hickerson, Adriene Alisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2019 |
| Last updated | Sep 23rd, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710538681 | NPPES |
| Kentucky | Other | H92436703 | 3747A0650X |
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