Hickman, James R

Hickman, James R is an individual health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Hickman, James R can be contacted via phone (507) 284-2511.

Contact Information

Primary practice address
200 1St St Sw Rochester MN 55905-0001
Phone: (507) 284-2511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 36157 Minnesota
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 36157 Minnesota

Profile Details

NPI number 1073587150
LBN Legal business name Hickman, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Feb 10th, 2012 - 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 1073587150 NPPES
Minnesota Other 110002365 RAILROAD MEDICARE
Minnesota MEDICAID 888527300 RAILROAD MEDICARE
Minnesota MEDICAID 32646400 RAILROAD MEDICARE
Minnesota MEDICAID ENROLLED RAILROAD MEDICARE

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