Free National NPI Number Registry
Dr. Samuel Hickey JR.
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Samuel Hickey JR. |
| Gender: | M |
| Provider License Number If Given: | 24236 |
NPI Information:
| NPI: | 1205835717 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 11/17/2011 |
Provider Business Mailing Address:
| Address: | 42440 PELICAN PROFESSIONAL PARK Hammond, LA 70403 |
| Phone Number: | 9855424950 |
| Fax Number: | 9855426089 |
Provider Business Practice Location Address:
| Address: | 42440 PELICAN PROFESSIONAL PARK Hammond, LA 70403 |
| Phone Number: | 9855424950 |
| Fax Number: | 9855426089 |
Provider Taxonomy:
| Primary: | 208000000X |
| Secondary (if any): | |
| State: | LA |
