MR. DAVID HICKMAN NP NPI 1457383119

NPI Information

NPI: 1457383119
Provider Name: MR. DAVID HICKMAN, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2331 PROGRESS ST
SUITE D
WEST BRANCH, MI
ZIP 48661
Phone: (989) 345-1184
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MR. David Hickman, NP is a family nurse practitioner in West Branch, MI. MR. David Hickman, NP NPI is 1457383119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2331 PROGRESS ST
SUITE D
WEST BRANCH, MI
ZIP 48661-384
Phone: (989) 345-1184
Fax: (989) 345-6944

The enumeration date for this NPI number is 7/6/2006 and was last updated on 1/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4704082187	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4747193	MEDICAID	MICHIGAN
2	700G210140	OTHER	MICHIGAN	BCBS GROUP
3	5008768480	OTHER	MICHIGAN	BCBS PIN
4	S92772	MEDICARE UPIN	MICHIGAN
5	OP19270 007	MEDICARE PIN	MICHIGAN
6	4747184	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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