Martha A Hickmann
Procedural Dermatology
3025 Governors Place Blvd
Dayton
, Ohio 45409
Martha A Hickmann
Procedural Dermatology
3025 Governors Place Blvd
Dayton
, Ohio 45409
(937) 293-5568
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Martha A Hickmann
- 3025 Governors Place Blvd
- Dayton, OH
- Zip : 45409
- Fax : (937) 293-5568
- Phone : (937) 293-5567
Second Address
- Martha A Hickmann
- 3025 Governors Place Blvd
- Dayton, OH
- Zip : 45409
- Fax : (937) 293-5568
- Phone : (937) 293-5567
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | 35-06-0161 | OH |
National Provider Identifier
| NPI | 1437147030 |
|---|---|
| Provider Name | Martha A Hickmann |
| First Address | Dayton, OH 45409 |
| Second Address | Dayton, OH 45409 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2005 |
| Last Update Date | 19/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2088646 | (05) | OH |
| E66423 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.