Aaron Hickman

Individual provider Active NPI Personal Care Attendant · Mooreton, ND

NPI 1144950122 · NPPES record last updated Jun 13, 2022

Key facts

NPI
1144950122
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
7685 167TH Ave SE
Mooreton, ND 58061-9795
Phone
(701) 671-0089
NPI assigned
Jun 13, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant
Group: 193400000X SINGLE SPECIALTY GROUP
3747P1801X Yes

Addresses

Primary practice location

7685 167TH Ave SE
Mooreton, ND 58061-9795

Mailing address

7685 167TH Ave SE
Mooreton, ND 58061-9795
Phone (701) 671-0089

Other providers in Mooreton, ND

All providers in Mooreton, ND · Personal Care Attendant in North Dakota

Sources for this page

Verify at the official NPI Registry.