Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASON DANIEL HICKMAN, ATC
Active Sole ProprietorMR. JASON DANIEL HICKMAN, ATC is a Athletic Trainer healthcare provider located in NEWPORT, New Jersey. NPI 1841523651 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · NEWPORT, NJ
Registration Details
- NPI Number
- 1841523651
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 10, 2009 (16.898719147351 yrs)
- Last Updated
- Sep 10, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
309 BAPTIST RDNEWPORT, NJ, 083452103Browse NJ providers · Browse ZIP 08345
- Phone
- 8564474500
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.