Bicknell, John Eric

Bicknell, John Eric is an sole proprietor health care provider with primary practice located at 7925 Youree Drive Suite 280A, Shreveport LA 71105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Bicknell, John Eric can be contacted via phone (318) 798-6833.

Contact Information

Primary practice address
7925 Youree Drive Suite 280A Shreveport LA 71105
Phone: (318) 798-6833
Fax: (318) 798-6835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 016810 Louisiana
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X 016810 Louisiana

Profile Details

NPI number 1740357722
LBN Legal business name Bicknell, John Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Nov 13th, 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 1740357722 NPPES
Louisiana MEDICAID 1392715
Louisiana MEDICAID X9X029868

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