Hicklin, Harry Eugene
Hicklin, Harry Eugene is an sole proprietor health care provider with primary practice located at 430 S Herlong Ave Suite 104, Rock Hill SC 29732-1094. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Hicklin, Harry Eugene can be contacted via phone (803) 324-4900.Contact Information
Primary practice address
430 S Herlong Ave Suite 104
Rock Hill SC 29732-1094
Phone: (803) 324-4900
Fax: (803) 324-1155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 14159 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 39615 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25618 | Iowa |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 14159 | South Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 39615 | North Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25618 | Iowa |
Profile Details
| NPI number | 1992717763 |
|---|---|
| LBN Legal business name | Hicklin, Harry Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Aug 17th, 2012 - about 12 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 | 1992717763 | NPPES |
| South Carolina | MEDICAID | 141590 | |
| South Carolina | Other | P00204305 | |
| South Carolina | MEDICAID | 8942145 | |
| South Carolina | Other | 42145 | |
| South Carolina | Other | P00200607 |
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