Hickey, Charles W

Hickey, Charles W is an individual health care provider with primary practice located at 1818 Amherst St , Winchester VA 22601-2869. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is his primary health care specialty. Hickey, Charles W can be contacted via phone (540) 450-0072.

Contact Information

Primary practice address
1818 Amherst St Winchester VA 22601-2869
Phone: (540) 450-0072
Fax: (540) 450-0074
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024167461 Virginia
Nursing Service Providers / Licensed Practical Nurse 164W00000X 0024167461 Virginia

Profile Details

NPI number 1700070315
LBN Legal business name Hickey, Charles W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Dec 27th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700070315 NPPES
Virginia MEDICAID 1700070315
Virginia Other P00657227
Virginia MEDICAID 3810009838

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