Tara J Hickman
Naturopath
3538 N Highway 112
Fayetteville
, Arkansas 72704-5485
Tara J Hickman
Naturopath
3538 N Highway 112
Fayetteville
, Arkansas 72704-5485
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About
Features
Specialties
- Naturopath
Languages spoken
- English
Location
First Address
- Tara J Hickman
- 977 E Oaks Manor Dr
- Fayetteville, AR
- Zip : 72703-3519
- Phone :
Second Address
- Tara J Hickman
- 3538 N Highway 112
- Fayetteville, AR
- Zip : 72704-5485
- Phone : (479) 445-2220
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 09-1163 | AZ |
National Provider Identifier
| NPI | 1083931976 |
|---|---|
| Provider Name | Tara J Hickman |
| First Address | Fayetteville, AR 72703-3519 |
| Second Address | Fayetteville, AR 72704-5485 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2010 |
| Last Update Date | 01/05/2010 |
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.