Bickham, Sylvia Dale

Bickham, Sylvia Dale is an individual health care provider with primary practice located at 1502 Strickland Dr Ste 2 , Orange TX 77630. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Bickham, Sylvia Dale can be contacted via phone (409) 883-5956.

Contact Information

Primary practice address
1502 Strickland Dr Ste 2 Orange TX 77630
Fax: (409) 882-5473
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1700152642
LBN Legal business name Bickham, Sylvia Dale
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2012
Last updated Mar 26th, 2012 - about 13 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 1700152642 NPPES
Texas MEDICAID 0199291-01

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