Hicklin, D Mark
Hicklin, D Mark is an individual health care provider with primary practice located at 120 Heywood Ave Suite 200, Spartanburg SC 29302-1210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hicklin, D Mark can be contacted via phone (864) 573-9595.Contact Information
Primary practice address
120 Heywood Ave Suite 200
Spartanburg SC 29302-1210
Phone: (864) 573-9595
Fax: (864) 585-3752
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11179 | South Carolina |
Profile Details
NPI number | 1770553257 |
---|---|
LBN Legal business name | Hicklin, D Mark |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | Dec 13th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770553257 | NPPES |
South Carolina | MEDICAID | 111792 | |
South Carolina | Other | 4584043 | |
South Carolina | Other | 58864 | |
South Carolina | MEDICAID | 7906539 |
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