Hickman, Horace O.

Hickman, Horace O. is an individual health care provider with primary practice located at 5330 E Stop 11 Rd , Indianapolis IN 46237-6345. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Hickman, Horace O. can be contacted via phone (317) 893-1900.

Contact Information

Primary practice address
5330 E Stop 11 Rd Indianapolis IN 46237-6345
Fax: (317) 893-1869
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 01023443A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01023443A Indiana

Profile Details

NPI number 1639140171
LBN Legal business name Hickman, Horace O.
Credentials M.D., J.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Sep 27th, 2016 - about 8 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 1639140171 NPPES
Indiana MEDICAID 100324010A
Indiana Other 060034936

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