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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN ERIC BICKNELL SR., MD

Active Sole Proprietor

JOHN ERIC BICKNELL SR., MD is a Physical Medicine & Rehabilitation healthcare provider located in SHREVEPORT, Louisiana. NPI 1740357722 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · SHREVEPORT, LA

Registration Details

NPI Number
1740357722
Provider Type
Individual
Gender
Male
NPI Issued
Nov 29, 2006 (19.564297260296 yrs)
Last Updated
Nov 13, 2012
Licenses
016810 (LA)
016810 (LA)
Sole Proprietor
Yes

Practice Information

Address
7925 YOUREE DRIVE
SUITE 280A
SHREVEPORT, LA, 71105
Browse LA providers · Browse ZIP 71105
Phone
3187986833
Fax
3187986835
Primary Specialty
Physical Medicine & Rehabilitation
208100000X
Additional Specialty
204R00000X

Other Physical Medicine & Rehabilitation Providers in SHREVEPORT, LA

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.