Hickey, Thomas Dennis

Hickey, Thomas Dennis is an sole proprietor health care provider with primary practice located at 376 S Latah St , Boise ID 83705-1539. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Hickey, Thomas Dennis can be contacted via phone (208) 338-9111.

Contact Information

Primary practice address
376 S Latah St Boise ID 83705-1539
Phone: (208) 338-9111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X CHIA-473 Idaho

Profile Details

NPI number 1881773992
LBN Legal business name Hickey, Thomas Dennis
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2006
Last updated Jul 9th, 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 1881773992 NPPES
Idaho Other 000010147245 BLUE SHIELD
Idaho Other C473-6 BLUE SHIELD

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