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Contact Information

JASON R BICKEL, DPM
202 BROADWAY ST
VINCENNES, IN47591-1228
 Phone: 812-882-3312
 Fax: 812-882-6181
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Specialist

174400000X
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JASON R BICKEL · (Male)

NPI Number 1093709750
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/08/2005
Last updated 04/06/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 07001040A
  • TN License # 599
  • IN Medicaid 200879590A
  • IL Other 000000542574 ANTHEM
  • IN Other 000000542568 ANTHEM
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    520 S 7TH ST
    VINCENNES, IN 47591
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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