Nikola Bicak Dba Jackson Foot & Ankle Clinic

NPI 1417130766 - Podiatrist - 213ES0103X

NPI Details
NPI 1417130766
Enumeration Date 12/10/2007
Last Updated 06/24/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LORI L LORI
Position BILLING
Phone (304) 372-3788
Fax (304) 372-1513
Practice Location
844 ROUTE 62 SOUTH
RIPLEY WV, 25271-8408, US
Phone (304) 372-3788
Fax (304) 372-1513
Business Location
PO BOX 796
RIPLEY WV, 25271-0796, US
Phone (304) 372-3788
Fax (304) 372-1513
Toxanomy
Taxonomy Code 213ES0103X
License State West Virginia
License Number 307
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According to our database, Nikola Bicak Dba Jackson Foot & Ankle Clinic NPI is 1417130766, taxonomy code is 213ES0103X and license number is 307, license state is located at West Virginia. Nikola Bicak Dba Jackson Foot & Ankle Clinic physically located at 844 Route 62 South, Ripley WV, 25271-8408. NPI Number 1033115704 has the healthcare provider type.

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1417130766 NPI number is provided on an as is basis without warranty of any kind. 1417130766 is maintained by the National Plan & Provider Enumeration System. The contents of Nikola Bicak Dba Jackson Foot & Ankle Clinic are for informational purposes only.