Individual
DR. EWELL BICKHAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5266 COMMERCE ST, SAINT FRANCISVILLE, LA 70775-4409
(225) 635-2436
(225) 635-2435
Mailing address
PO BOX 368, SAINT FRANCISVILLE, LA 70775-0368
(225) 635-3811
(225) 635-2435
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.022207
LA
207Q00000X
Family Medicine Physician
022207
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1490342
—
LA
Enumeration date
05/16/2006
Last updated
03/29/2022
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