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Contact Information

THOMAS D HICKEY, D.C.
376 S LATAH ST
BOISE, ID83705-1539
 Phone: 208-338-9111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for THOMAS D HICKEY · (Male)

NPI # 1881773992
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 11/02/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # CHIA-473
  • ID Other C473-6 BLUE CROSS
  • ID Other 000010147245 BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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