Hickey, Homer David

Hickey, Homer David is an individual health care provider with primary practice located at 1325 Wolf Park Dr Suite 102, Germantown TN 38138-1742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Hickey, Homer David can be contacted via phone (901) 252-3400.

Contact Information

Primary practice address
1325 Wolf Park Dr Suite 102 Germantown TN 38138-1742
Phone: (901) 252-3400
Fax: (901) 682-0047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 05554 Tennessee

Profile Details

NPI number 1114985272
LBN Legal business name Hickey, Homer David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114985272 NPPES
Other 2005835 BLUE CROSS TN
MEDICAID 3153875 BLUE CROSS TN
Other 4664755 BLUE CROSS TN
Other 02110025700 BLUE CROSS TN
Other 770396 BLUE CROSS TN
Other 12939795 BLUE CROSS TN
Other 3153875 BLUE CROSS TN
Other 6107353 BLUE CROSS TN
Other 12939795 BLUE CROSS TN
Other 2005835 BLUE CROSS TN
Other 211159 BLUE CROSS TN
Other 381844 BLUE CROSS TN
Other 92802 BLUE CROSS TN

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