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Individual
JASON R BICKEL
Active
Individual
JASON R BICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
599
TN
213E00000X
Podiatrist
Primary
07001040A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
07001040A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000542568
ANTHEM
IN
01
—
000000542574
ANTHEM
IL
05
—
200879590A
—
IN
Enumeration date
09/08/2005
Last updated
04/06/2022
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