Hickman, Leonard A.

Hickman, Leonard A. is an individual health care provider with primary practice located at 230 E Day Rd Ste 160, Mishawaka IN 46545-3463. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Hickman, Leonard A. can be contacted via phone (574) 271-8222.

Contact Information

Primary practice address
230 E Day Rd Ste 160 Mishawaka IN 46545-3463
Phone: (574) 271-8222
Fax: (574) 271-8896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20040609A Indiana

Profile Details

NPI number 1699770529
LBN Legal business name Hickman, Leonard A.
Credentials PH.D, H.S.P.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699770529 NPPES
Indiana Other 20040609A STATE LICENSE
Indiana Other 000000336157 STATE LICENSE

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