Bickett, Jeremy

Bickett, Jeremy is an individual health care provider with primary practice located at 33 W Rahn Rd , Dayton OH 45429-2219. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bickett, Jeremy can be contacted via phone (937) 433-8990.

Contact Information

Primary practice address
33 W Rahn Rd Dayton OH 45429-2219
Phone: (937) 433-8990
Fax: (937) 433-8691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50-002487 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50002487 Ohio

Profile Details

NPI number 1770689150
LBN Legal business name Bickett, Jeremy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 30th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770689150 NPPES
Ohio MEDICAID 0075430
Ohio Other 50002487

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