Bickel, Jason R

Bickel, Jason R is an individual health care provider with primary practice located at 202 Broadway St , Vincennes IN 47591-1228. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Bickel, Jason R can be contacted via phone (812) 882-3312.

Contact Information

Primary practice address
202 Broadway St Vincennes IN 47591-1228
Phone: (812) 882-3312
Fax: (812) 882-6181
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 599 Tennessee
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07001040A Indiana
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07001040A Indiana

Profile Details

NPI number 1093709750
LBN Legal business name Bickel, Jason R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Apr 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093709750 NPPES
Indiana Other 000000542568 ANTHEM
Indiana Other 000000542574 ANTHEM
Indiana MEDICAID 200879590A ANTHEM

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