Organization
NIKOLA BICAK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI L BICAK (BILLING)
(304) 372-3788
Entity
Organization
Contact information
Practice address
1837 RIPLEY RD, RIPLEY, WV 25271-5113
(304) 372-3788
(304) 372-1513
Mailing address
PO BOX 796, RIPLEY, WV 25271-0796
(304) 372-3788
(304) 372-1513
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
307
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099957000
—
WV
Enumeration date
12/10/2007
Last updated
10/11/2024
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