Bickel, Matthew Gene

Bickel, Matthew Gene is an individual health care provider with primary practice located at 3000 32Nd Ave S , Fargo ND 58103-6132. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bickel, Matthew Gene can be contacted via phone (701) 364-8000.

Contact Information

Primary practice address
3000 32Nd Ave S Fargo ND 58103-6132
Fax: (701) 364-8078
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAC0604 North Dakota

Profile Details

NPI number 1932453016
LBN Legal business name Bickel, Matthew Gene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2012
Last updated Dec 29th, 2015 - about 10 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 1932453016 NPPES
South Dakota MEDICAID 2005478

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