NPI 1760427389 · live from the CMS NPI Registry
Ethan Edwin Bickelhaupt, M.D.
Psychiatry & Neurology, Psychiatry in Topeka, KS. National Provider Identifier 1760427389, active.
NPI record
| NPI | 1760427389 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 2200 Sw Gage Blvd, Topeka, KS 66622 |
| Practice phone | 785-350-3111 |
| Mailing address | 3315 Sw 15th St, Topeka, KS 66604 |
| Enumerated | June 18, 2006 |
| Last updated | January 28, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Addiction Medicine | 2084A0401X | 04-18225 (KS) |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | 04-18225 (KS) |
| 2084P0805X | 04-18225 (KS) | |
| Psychiatry & Neurology, Pain Medicine | 2084P2900X | 04-18225 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.