Hickman, John Vicent
Hickman, John Vicent is an sole proprietor health care provider with primary practice located at 15 Horseblock Pl , Farmingville NY 11738-1204. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hickman, John Vicent can be contacted via phone (631) 854-2571.Contact Information
Primary practice address
15 Horseblock Pl
Farmingville NY 11738-1204
Phone: (631) 854-2571
Fax: (631) 854-2550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R045978 | New York |
Profile Details
| NPI number | 1538230495 |
|---|---|
| LBN Legal business name | Hickman, John Vicent |
| Credentials | LCSW, CASAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1538230495 | NPPES |
| New York | MEDICAID | 00354807 |
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