Organization
BICKNELL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSCOE BICKNELL (PRESIDENT)
(907) 789-5727
Entity
Organization
Contact information
Practice address
2275 BRANDY LN, JUNEAU, AK 99801-8578
(907) 789-5727
(907) 789-2644
Mailing address
PO BOX 33517, JUNEAU, AK 99803-3517
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
153481
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EM0029
—
AK
Enumeration date
08/10/2011
Last updated
08/10/2011
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