Hickson, Ann M
Hickson, Ann M is an individual health care provider with primary practice located at 237 Radio Dr Ste 100 , Woodbury MN 55125-4478. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Hickson, Ann M can be contacted via phone (651) 275-3000.Contact Information
Primary practice address
237 Radio Dr Ste 100
Woodbury MN 55125-4478
Phone: (651) 275-3000
Fax: (651) 275-3027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2904 | Minnesota |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2904 | Minnesota |
Profile Details
| NPI number | 1851396147 |
|---|---|
| LBN Legal business name | Hickson, Ann M |
| Credentials | O.D., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | May 14th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851396147 | NPPES |
| Minnesota | Other | P00125285 | RAILROAD MEDICARE |
| Minnesota | MEDICAID | 248600800 | RAILROAD MEDICARE |
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