Hicklin, Jonathan C

Hicklin, Jonathan C is an individual health care provider with primary practice located at 1565 Ebenezer Rd , Rock Hill SC 29732-1806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hicklin, Jonathan C can be contacted via phone (803) 328-0168.

Contact Information

Primary practice address
1565 Ebenezer Rd Rock Hill SC 29732-1806
Phone: (803) 328-0168
Fax: (803) 325-8473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 17919 South Carolina

Profile Details

NPI number 1811970478
LBN Legal business name Hicklin, Jonathan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Dec 27th, 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 1811970478 NPPES
South Carolina MEDICAID T21544

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