Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHAD R HICKERSON, MAOD
ActiveCHAD R HICKERSON, MAOD is a 376G00000X healthcare provider located in SANTA CRUZ, California. NPI 1760982128 is currently active in the NPPES registry. Verify at CMS.
376G00000X · SANTA CRUZ, CA
Registration Details
- NPI Number
- 1760982128
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2018 (8.5395590351405 yrs)
- Last Updated
- Jun 16, 2018
Practice Information
- Address
-
2250 SOQUEL AVESANTA CRUZ, CA, 950621402Browse CA providers · Browse ZIP 95062
- Phone
- 8316002801
- Fax
- 8316002801
- Primary Specialty
-
376G00000X
376G00000X
Other 376G00000X Providers in SANTA CRUZ, CA
| Name | Credential | NPI |
|---|---|---|
| RUDOLPH VINCENT ESCALANTE | — | 1861901282 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.