# NIKOLA BICAK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417130766
- **Authorized official:** MRS. LORI L BICAK (BILLING)
- **Authorized official phone:** (304) 372-3788

## Contact information

- **Practice address:** 1837 RIPLEY RD, RIPLEY, WV 25271-5113
- **Practice address phone:** (304) 372-3788
- **Practice address fax:** (304) 372-1513
- **Mailing address:** PO BOX 796, RIPLEY, WV 25271-0796
- **Mailing address phone:** (304) 372-3788
- **Mailing address fax:** (304) 372-1513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 307 | WV | Yes |

## Other

- **Enumeration date:** 12/10/2007
- **Last updated:** 10/11/2024