Individual
JAY RUSSELL HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
HICKMAN CHIROPRACTIC, 820 4TH ST NE, HAMPTON, IA 50441
(641) 456-2280
(641) 456-2280
Mailing address
HICKMAN CHIROPRACTIC, 820 4TH ST NE, HAMPTON, IA 50441
(641) 456-2280
(641) 456-2280
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05944
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0422543
—
IA
01
—
45752
WELLMARK
IA
Enumeration date
01/23/2006
Last updated
10/23/2007
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