Bickham, Dudley Wayne

Bickham, Dudley Wayne is an individual health care provider with primary practice located at 220 Faison Dr , Columbia SC 29203-3210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bickham, Dudley Wayne can be contacted via phone (803) 898-8405.

Contact Information

Primary practice address
220 Faison Dr Columbia SC 29203-3210
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 6646 South Carolina

Profile Details

NPI number 1598795718
LBN Legal business name Bickham, Dudley Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Sep 17th, 2010 - about 16 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 1598795718 NPPES
South Carolina MEDICAID 066467

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