Individual
DR. CHRISTOPHER LOWE HICKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3220 CLARK RD, SARASOTA, FL 34231-8302
(941) 923-4357
(941) 923-9943
Mailing address
3220 CLARK RD, SARASOTA, FL 34231-8302
(941) 923-4357
(941) 923-9943
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-1512892
TID
FL
01
—
88736Y
MEDICARE PTAN
FL
Enumeration date
09/06/2005
Last updated
10/04/2011
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