Hickman, Timothy Scott

Hickman, Timothy Scott is an individual health care provider with primary practice located at 114 Central Ave Nw , Orange City IA 51041-1458. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hickman, Timothy Scott can be contacted via phone (712) 737-4246.

Contact Information

Primary practice address
114 Central Ave Nw Orange City IA 51041-1458
Phone: (712) 737-4246
Fax: (712) 707-9855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 01833 Iowa

Profile Details

NPI number 1740253202
LBN Legal business name Hickman, Timothy Scott
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Dec 3rd, 2008 - about 16 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 1740253202 NPPES
Iowa MEDICAID 1231662

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