1669474839 NPI number — DAVID G BICHSEL M.D.

Table of content: DAVID G BICHSEL M.D. (NPI 1669474839)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669474839 NPI number — DAVID G BICHSEL M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BICHSEL
Provider First Name:
DAVID
Provider Middle Name:
G
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669474839
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17 STANBERY AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43209-1463
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-253-8203
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
745 W STATE ST
Provider Second Line Business Practice Location Address:
STE 750
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43222-1515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-224-2281
Provider Business Practice Location Address Fax Number:
614-221-8869
Provider Enumeration Date:
06/01/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RI0011X , with the licence number:  35-05-5118B , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2500042 . This is a "UHC" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: RAILROAD MEDICARE . This is a "060006985" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 060006985 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0692479 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1887949 . This is a "CIGNA" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 289254 . This is a "BLACK LUNG" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000014684 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1402 . This is a "NATIONWIDE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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