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Contact Information

HICKORY ESTATES
310 OTHA
SUMNER, IL62466
 Phone: 618-936-2004
 Fax: 618-936-2556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Lodging

177F00000X
Indicates primary specialty

NPI Profile & details for HICKORY ESTATES · (Female)

NPI # 1790981769
Status Active
Credentials
Entity Individual
Enumeration date 06/26/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 0030510
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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