Mr. Andrew D Bickham, IDC
Military Health Care Provider, Independent Duty Corpsman in Groton, Connecticut
1396061933- Practice location
- 159 Trout Avenue, Groton, CT 06340
- Phone
- 860-694-2876
- Fax
- —
- Last updated
- April 7, 2010
Andrew D. Bickham is a Military Health Care Provider, Independent Duty Corpsman based in Groton, CT. Andrew D. Bickham practices in Groton, CT and has the professional credentials of IDC. The NPI Number for Andrew D. Bickham is 1396061933 and holds a License No. T69-52-2586 (VA). The current practice location address for Andrew D. Bickham is 159 Trout Avenue, Groton, CT 06340 and can be reached out via phone at 860-694-2876.
Provider Profile Details
- NPI Number
- 1396061933
- Provider Name
- Andrew D. Bickham
- Credential
- IDC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 159 Trout Avenue, Groton, CT 06340
- Phone Number
- 860-694-2876
- Primary Taxonomy
- Military Health Care Provider, Independent Duty Corpsman · 1710I1002X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 7, 2010
- Last Update Date
- April 7, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 159 Trout Avenue
Groton, CT 06340 - City
- Groton
- State
- Connecticut
- Zip
- 06340
- Phone Number
- 860-694-2876
Provider Business Mailing Address Details
- Address
- 9 Cormorant RD
Groton, CT 06340-3110 - City
- Groton
- State
- CT
- Zip
- 06340-3110
- Phone Number
- 703-258-9239
License Information
- License Number
- T69-52-2586
- License State
- VA
- Taxonomy
- Military Health Care Provider, Independent Duty Corpsman · 1710I1002X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Andrew D Bickham, IDC?
The NPI number of Mr. Andrew D Bickham, IDC is 1396061933. It was assigned on April 7, 2010 and is currently active in the NPPES registry.
What is the specialty of Mr. Andrew D Bickham, IDC?
Mr. Andrew D Bickham, IDC is registered under the primary taxonomy Military Health Care Provider, Independent Duty Corpsman (code 1710I1002X), licensed in VA under license number T69-52-2586.
Where does Mr. Andrew D Bickham, IDC practice?
The practice location is 159 Trout Avenue, Groton, CT 06340. The office can be reached at 860-694-2876 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396061933 directly on the NPPES registry website.