Provider Demographics
NPI:1992778641
Name:HICKEY, STEVEN CURTIS (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CURTIS
Last Name:HICKEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2340 SANTA RITA RD
Mailing Address - Street 2:SUITE #3
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-4151
Mailing Address - Country:US
Mailing Address - Phone:925-484-2558
Mailing Address - Fax:925-484-3951
Practice Address - Street 1:2340 SANTA RITA RD
Practice Address - Street 2:SUITE #3
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-4151
Practice Address - Country:US
Practice Address - Phone:925-484-2558
Practice Address - Fax:925-484-3951
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15948111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT05962Medicare UPIN
CADC0159480Medicare ID - Type Unspecified