Hickman, Daniel D
Hickman, Daniel D is an sole proprietor health care provider with primary practice located at 3754 Highway 90 Suite 200, Pace FL 32571-1020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hickman, Daniel D can be contacted via phone (850) 416-5200.Contact Information
Primary practice address
3754 Highway 90 Suite 200
Pace FL 32571-1020
Phone: (850) 416-5200
Fax: (850) 416-5201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME76070 | Florida |
Profile Details
| NPI number | 1487608113 |
|---|---|
| LBN Legal business name | Hickman, Daniel D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Jun 25th, 2010 - about 14 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 | 1487608113 | NPPES |
| Florida | MEDICAID | 254249800 |
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