| Doctor Name: | DR. JEFFREY CARL BICKEL |
| NPI Number: | 1841392982 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 19210 |
| Business Practice Address: | 415 6th St Lewiston, ID - 835012431 |
| Business Phone Number: | 2087995335 |
| Business Fax Number: | |
| Mailing Address: | 531 4th Ave, LEWISTON |
| State: | ID |
| Postal Code: | 835012450 |
| Phone Number: | 2087434393 |
| Fax Number: | 2087434214 |
| NPI Enumeration Date: | 09/01/2006 |
| NPI Last Update Date: | 11/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 19210 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |