NPI 1093709750 · live from the CMS NPI Registry
Jason R Bickel, DPM
Podiatrist in Vincennes, IN. National Provider Identifier 1093709750, active.
NPI record
| NPI | 1093709750 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 202 Broadway St, Vincennes, IN 47591 |
| Practice phone | 812-882-3312 |
| Mailing address | 1160 E Saint Clair St, Vincennes, IN 47591 |
| Enumerated | September 8, 2005 |
| Last updated | April 6, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 599 (TN) |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 07001040A (IN) |
| Podiatrist primary | 213E00000X | 07001040A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.