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Individual
JOHN ERIC BICKNELL SR.
Active
Individual
JOHN ERIC BICKNELL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
016810
LA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
016810
LA
Other
Enumeration date
11/29/2006
Last updated
11/13/2012
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