Hickson, Robert

Hickson, Robert is an individual health care provider with primary practice located at 3109 Bienville Blvd , Ocean Springs MS 39564-4361. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hickson, Robert can be contacted via phone (228) 818-1111.

Contact Information

Primary practice address
3109 Bienville Blvd Ocean Springs MS 39564-4361
Phone: (228) 818-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R529613 Mississippi

Profile Details

NPI number 1851426175
LBN Legal business name Hickson, Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1851426175 NPPES
Mississippi MEDICAID RDH00016433

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