Johnson-Hicklen, Illya

Johnson-Hicklen, Illya is an individual health care provider with primary practice located at Corner Of Route N12 And, Route N7 , Fort Defiance AZ 86504-0649. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Critical Care, which is considered as her primary health care specialty. Johnson-Hicklen, Illya can be contacted via phone (928) 729-8000.

Contact Information

Primary practice address
Corner Of Route N12 And, Route N7 Fort Defiance AZ 86504-0649
Phone: (928) 729-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Critical Care 2278C0205X RCP02003641 Texas

Profile Details

NPI number 1912619701
LBN Legal business name Johnson-Hicklen, Illya
Credentials RCP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2022
Last updated Dec 23rd, 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.

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