Individual
BENNETT W BICKNELL
Active
Individual
BENNETT W BICKNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
22953
MS
207L00000X
Anesthesiology Physician
Primary
24729
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117572
—
MS
05
—
130290001
—
AR
05
—
208593806
—
MO
01
—
3075049
BLUE CROSS BLUE SHIELD
TN
05
—
3080496
—
TN
01
—
97346
AR BLUE CROSS BLUE SHIELD
AR
01
—
9823478
CIGNA
—
01
—
AN99147
UNITED HEALTHCARE
—
Enumeration date
12/01/2005
Last updated
06/05/2024
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