Hickman, Amanda Renea

Hickman, Amanda Renea is an individual health care provider with primary practice located at 6601 Phoenix Ave Ste B , Fort Smith AR 72903-5092. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Hickman, Amanda Renea can be contacted via phone (479) 785-9091.

Contact Information

Primary practice address
6601 Phoenix Ave Ste B Fort Smith AR 72903-5092
Phone: (479) 785-9091
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1255852463
LBN Legal business name Hickman, Amanda Renea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2017
Last updated Jun 28th, 2017 - about 7 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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