Bicknell, Timothy D

Bicknell, Timothy D is an individual health care provider with primary practice located at 10 North St , Vergennes VT 05491-1107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bicknell, Timothy D can be contacted via phone (802) 877-3466.

Contact Information

Primary practice address
10 North St Vergennes VT 05491-1107
Fax: (802) 877-1188
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042 0009191 Vermont

Profile Details

NPI number 1801885298
LBN Legal business name Bicknell, Timothy D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 8th, 2007 - about 18 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 1801885298 NPPES
Vermont MEDICAID OVN1240

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