Hickman, Hollie Jo

Hickman, Hollie Jo is an individual health care provider with primary practice located at 655 W 8Th St , Jacksonville FL 32209-6511. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Hickman, Hollie Jo can be contacted via phone (904) 633-0130.

Contact Information

Primary practice address
655 W 8Th St Jacksonville FL 32209-6511
Phone: (904) 633-0130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS9337 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 1957 Tennessee

Profile Details

NPI number 1427032390
LBN Legal business name Hickman, Hollie Jo
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated May 3rd, 2011 - about 13 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 1427032390 NPPES
Georgia MEDICAID 003106713A
Georgia MEDICAID 003305500

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