Hickmann, Martha A
Hickmann, Martha A is an individual health care provider with primary practice located at 3025 Governors Place Blvd , Dayton OH 45409. She recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as her primary health care specialty. Hickmann, Martha A can be contacted via phone (937) 293-5567.Contact Information
Primary practice address
3025 Governors Place Blvd
Dayton OH 45409
Phone: (937) 293-5567
Fax: (937) 293-5568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 35-06-0161 | Ohio |
Profile Details
| NPI number | 1437147030 |
|---|---|
| LBN Legal business name | Hickmann, Martha A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Apr 19th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437147030 | NPPES |
| Ohio | MEDICAID | 2088646 |
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