Individual
JASON R BICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
202 BROADWAY ST, VINCENNES, IN 47591-1228
(812) 882-3312
(812) 882-6181
Mailing address
1160 E SAINT CLAIR ST, VINCENNES, IN 47591-4853
(812) 885-3325
(812) 885-8499
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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