Hickerson, Robert

Hickerson, Robert is an individual health care provider with primary practice located at 3375 N Seminary St , Galesburg IL 61401-1251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hickerson, Robert can be contacted via phone (309) 343-5114.

Contact Information

Primary practice address
3375 N Seminary St Galesburg IL 61401-1251
Phone: (309) 343-5114
Fax: (309) 343-7859
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1104916485
LBN Legal business name Hickerson, Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2006
Last updated Jul 8th, 2007 - about 17 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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