Ickler, Jeffrey J

Ickler, Jeffrey J is an individual health care provider with primary practice located at 1700 Spring Hill Ave Ste 400, Mobile AL 36604-1407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ickler, Jeffrey J can be contacted via phone (251) 438-4440.

Contact Information

Primary practice address
1700 Spring Hill Ave Ste 400 Mobile AL 36604-1407
Phone: (251) 438-4440
Fax: (251) 438-4599
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 00022258 Alabama

Profile Details

NPI number 1477656528
LBN Legal business name Ickler, Jeffrey J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Apr 22nd, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477656528 NPPES
Alabama MEDICAID 009998120

Popular Providers