Bickford, Marcus William
Bickford, Marcus William is an individual health care provider with primary practice located at 1836 South Ave , La Crosse WI 54601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bickford, Marcus William can be contacted via phone (608) 775-3349.Contact Information
Primary practice address
1836 South Ave
La Crosse WI 54601
Phone: (608) 775-3349
Fax: (608) 775-1548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 63812 | Wisconsin |
Profile Details
| NPI number | 1285070722 |
|---|---|
| LBN Legal business name | Bickford, Marcus William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2013 |
| Last updated | Jun 27th, 2019 - 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 | 1285070722 | NPPES |
| Wisconsin | MEDICAID | 1285070722 |
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