Bicking, Griffin Keith
Bicking, Griffin Keith is an individual health care provider with primary practice located at 2603 Kentucky Ave Suite 105, Paducah KY 42003-3814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Bicking, Griffin Keith can be contacted via phone (270) 415-4802.Contact Information
Primary practice address
2603 Kentucky Ave Suite 105
Paducah KY 42003-3814
Phone: (270) 415-4802
Fax: (270) 415-4835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | OS014170 | Pennsylvania |
Profile Details
| NPI number | 1467689844 |
|---|---|
| LBN Legal business name | Bicking, Griffin Keith |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2009 |
| Last updated | Dec 8th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467689844 | NPPES |
| Kentucky | MEDICAID | 7100212750 |
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