Organization Active NPI

Hickman Chiropractic, LLC

  • Chiropractor
  • Ashland, WI
National Provider Identifier
1770668691
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2542 Issued in WI
Legal business name
HICKMAN CHIROPRACTIC, LLC
Practice address
400 East Lakeshore Drive
Ashland, WI 54806
Phone
(715) 682-5656
Fax
(715) 682-5225
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Patrick Alan Hickman, D.C.
Title
Owner
Phone
(715) 682-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2542 WI Primary

Addresses

Primary practice location

400 East Lakeshore Drive
Ashland, WI 54806

Mailing address

400 East Lakeshore Drive
Ashland, WI 54806
Phone (715) 682-5656

National Provider Directory

National Provider Directory

Locations

400 Lake Shore Dr E
Ashland, WI 54806
Phone (715) 682-2363

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1770668691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EAST LAKESHORE DRIVE",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "54806",
            "telephone_number": "715-682-5656",
            "fax_number": "715-682-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EAST LAKESHORE DRIVE",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "54806",
            "telephone_number": "715-682-5656",
            "fax_number": "715-682-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKMAN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-682-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.