| Doctor Name: | JASON R BICKEL |
| NPI Number: | 1093709750 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 07001040A |
| Business Practice Address: | 202 Broadway St Vincennes, IN - 475911228 |
| Business Phone Number: | 8128823312 |
| Business Fax Number: | 8128826181 |
| Mailing Address: | Po Box 943, VINCENNES |
| State: | IN |
| Postal Code: | 475910943 |
| Phone Number: | 8128823312 |
| Fax Number: | 8128826181 |
| NPI Enumeration Date: | 09/08/2005 |
| NPI Last Update Date: | 12/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 07001040A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |