Hickey, Joseph P

Hickey, Joseph P is an individual health care provider with primary practice located at 5820 S. Eastern Lifestyle Center, Las Vegas NV 89119. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Nursing Service Providers / Licensed Practical Nurse is his primary health care specialty. Hickey, Joseph P can be contacted via phone (702) 797-2353.

Contact Information

Primary practice address
5820 S. Eastern Lifestyle Center Las Vegas NV 89119
Phone: (702) 797-2353
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X APRN001803 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209-005046 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2167-033 Wisconsin

Profile Details

NPI number 1942386776
LBN Legal business name Hickey, Joseph P
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Dec 10th, 2014 - about 11 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 1942386776 NPPES
Nevada MEDICAID 1942386776
Nevada Other V108918

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