Bickers, Douglas Mark
Bickers, Douglas Mark is an individual health care provider with primary practice located at 1919 State Street Suite 248, New Albany IN 47150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bickers, Douglas Mark can be contacted via phone (812) 945-7972.Contact Information
Primary practice address
1919 State Street Suite 248
New Albany IN 47150
Phone: (812) 945-7972
Fax: (812) 945-7969
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 23063 | Kentucky |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01032441A | Indiana |
Profile Details
NPI number | 1831115765 |
---|---|
LBN Legal business name | Bickers, Douglas Mark |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 14th, 2006 |
Last updated | Dec 8th, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831115765 | NPPES |
Kentucky | MEDICAID | 64230634 | |
Kentucky | MEDICAID | 100115920A |
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