Individual
MRS. TIFFANY ANN HICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
706 W 4TH ST, GRAND ISLAND, NE 68801-4529
(308) 382-7470
(308) 382-9398
Mailing address
706 W 4TH ST, GRAND ISLAND, NE 68801-4529
(308) 389-4909
(308) 382-9398
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1134
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47076250613
—
NE
Enumeration date
10/04/2006
Last updated
07/08/2007
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