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NPI Code Detail

MEDICARE: DR. LINDA BICK M.D.

MEDICARE: DR. LINDA BICK M.D.
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
1207P00000XEmergency Medicine PhysicianR7N94MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00285348OTHERMORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1426403OTHERMOHEALTHLINK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4947071631OTHERMOMERCY HEALTH
5124884OTHERMOBLUE CROSS

General Provider Information

NPI Number : 1699717728
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA BICK M.D.
Provider Business Mailing Address
First Line : 6420 CLAYTON RD
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1811
Country : US
Telephone Number : 314-768-8360
Fax Number :
Provider Business Practice Location Address
First Line : 6420 CLAYTON RD
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1811
Country : US
Telephone Number : 314-768-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 11/23/2012

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