Hickson, Charlene J
Hickson, Charlene J is an individual health care provider with primary practice located at 1218 S Pueblo Blvd , Pueblo CO 81005-1593. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Hickson, Charlene J can be contacted via phone (719) 566-1277.Contact Information
Primary practice address
1218 S Pueblo Blvd
Pueblo CO 81005-1593
Phone: (719) 566-1277
Fax: (719) 566-1257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 39435 | Colorado |
Profile Details
| NPI number | 1417909938 |
|---|---|
| LBN Legal business name | Hickson, Charlene J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Sep 8th, 2022 - about 2 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 | 1417909938 | NPPES |
| Colorado | MEDICAID | 50255843 |
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