Hickman, Renee B

Hickman, Renee B is an individual health care provider with primary practice located at 23203 Columbus Rd Ste I , Columbus NJ 08022-1985. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hickman, Renee B can be contacted via phone (609) 303-4450.

Contact Information

Primary practice address
23203 Columbus Rd Ste I Columbus NJ 08022-1985
Fax: (609) 303-4451
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD072498L Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA10235700 New Jersey

Profile Details

NPI number 1619917788
LBN Legal business name Hickman, Renee B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Apr 29th, 2021 - about 4 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 1619917788 NPPES
Pennsylvania Other 1301488 HIGHMARK
Pennsylvania MEDICAID 0018417270004 HIGHMARK

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