Hicklin, Jeffrey A

Hicklin, Jeffrey A is an individual health care provider with primary practice located at 9100 W 74Th St , Shawnee Mission KS 66204-4004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hicklin, Jeffrey A can be contacted via phone (913) 676-2310.

Contact Information

Primary practice address
9100 W 74Th St Shawnee Mission KS 66204-4004
Phone: (913) 676-2310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 04-27554 Kansas

Profile Details

NPI number 1083729222
LBN Legal business name Hicklin, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Aug 22nd, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083729222 NPPES
Missouri MEDICAID 203938212 - SMMC
Missouri MEDICAID 100312920C
Missouri Other 24884043

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