Provider Demographics
NPI:1760550503
Name:HICKMAN, ALLISON J (DO)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:J
Last Name:HICKMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3130 WINTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-6320
Mailing Address - Country:US
Mailing Address - Phone:804-937-7574
Mailing Address - Fax:804-594-2628
Practice Address - Street 1:MCGUIRE VETERANS HOSPITAL DEPT OF PM&R
Practice Address - Street 2:1201 BROAD ROCK BLVD
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23249-0001
Practice Address - Country:US
Practice Address - Phone:804-675-5000
Practice Address - Fax:804-675-5857
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102201494208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation