Stuart Hickerson in Havana - Emergency Medical Services
Stuart Hickerson - NPI 1073629374
Stuart Hickerson is a Emergency Medical Services in Havana, Illinois. Stuart Hickerson practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Stuart Hickerson is 1073629374. The last update date is 2013-04-24.
Stuart Hickerson's current location address is 12528 Sr 78, Havana, Illinois. You can contact this provider via phone number 3095434253. The mailing address for Stuart Hickerson is 12528 Sr 78, Havana, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stuart Hickerson |
|---|---|
| Address | 12528 Sr 78, Havana, Illinois |
| Phone Number | 3095434253 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1073629374 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2013-04-24 |
Provider Mailing Address Detail
| Address | 12528 Sr 78 |
|---|---|
| City | Havana |
| State | Illinois (IL) |
| Post Code | 626446866 |
| Phone Number | 3095434253 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Services |
|---|---|
| Taxonomy | 207Pe0004X |
| Licence No | 36083126 |
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Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36083126 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Stuart Hickerson by the Centers for Medicare & Medicaid Services?
The Stuart Hickerson has been issued the NPI (National Provider Identifier) 1073629374. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Stuart Hickerson's facilities are geographically located?
The facilities of Stuart Hickerson are physically situated at the following location: 12528 Sr 78, Havana, IL, 626446866.
What is Stuart Hickerson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stuart Hickerson is Emergency Medical Services, and the taxonomy classification code that categorizes this area of expertise is 207Pe0004X.
When did the Stuart Hickerson receive its 1073629374?
The Stuart Hickerson was issued its 1073629374 on 2006-08-21, which is the date when the organization was assigned this unique identifier.
When was the information regarding Stuart Hickerson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stuart Hickerson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-04-24.