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NPI Code Detail

MEDICARE: MR. STEVEN BICKEL PA-C

MEDICARE:  MR. STEVEN  BICKEL  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant2235TN

General Provider Information

NPI Number : 1265480867
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEVEN BICKEL PA-C
Provider Business Mailing Address
First Line : 127 N OAK AVE
Second Line : SUITE D
City : COOKEVILLE
State : TN
Zip : 38501-2435
Country : US
Telephone Number : 931-783-5857
Fax Number : 931-526-6760
Provider Business Practice Location Address
First Line : 228 W 4TH ST
Second Line : SUITE 301
City : COOKEVILLE
State : TN
Zip : 38501-2488
Country : US
Telephone Number : 931-372-0401
Fax Number : 931-783-4269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 11/08/2012

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Directions to “ MR. STEVEN BICKEL PA-C” Practice Location

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