National Provider Identifier Database

CHAD R HICKERSON, MAOD – NPI #1760982128
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

CHAD R HICKERSON, MAOD
2250 SOQUEL AVE
SANTA CRUZ, CA95062-1402
Phone: 831-600-2801
Fax: 831-600-2801
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X

* Indicates primary specialty

NPI Profile & details for CHAD R HICKERSON

NPI Number 1760982128
Credentials MAOD
Entity Individual
Enumeration date 02/12/2018
Last updated 06/16/2018 - About 8 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

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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