Hickey, Timothy Michael

Hickey, Timothy Michael is an sole proprietor health care provider with primary practice located at 2735 Navarre Ave Suite 102, Oregon OH 43616-3275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Hickey, Timothy Michael can be contacted via phone (419) 690-8273.

Contact Information

Primary practice address
2735 Navarre Ave Suite 102 Oregon OH 43616-3275
Phone: (419) 690-8273
Fax: (419) 690-8308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35-084480 Ohio

Profile Details

NPI number 1992708218
LBN Legal business name Hickey, Timothy Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2005
Last updated Apr 30th, 2013 - 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 1992708218 NPPES
Ohio MEDICAID 2604408

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