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:
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Health care specialties

SpecialtyCodeLicense #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 4 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 1831115765 NPPES
Kentucky MEDICAID 64230634
Kentucky MEDICAID 100115920A

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