Hickman, Tara J

Hickman, Tara J is an sole proprietor health care provider with primary practice located at 3538 N Highway 112 , Fayetteville AR 72704-5485. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Hickman, Tara J can be contacted via phone (479) 445-2220.

Contact Information

Primary practice address
3538 N Highway 112 Fayetteville AR 72704-5485
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 09-1163 Arizona

Profile Details

NPI number 1083931976
LBN Legal business name Hickman, Tara J
Credentials NMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2010
Last updated May 1st, 2010 - about 14 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.

Request for update

Popular Providers