Provider Demographics
NPI:1013925205
Name:BICE, JAMES (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:BICE
Suffix:
Gender:M
Credentials:DO
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:ISU THIELEN STUDENT HEALTH CENTER
Mailing Address - Street 2:2647 UNION DRIVE
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50011-2029
Mailing Address - Country:US
Mailing Address - Phone:515-294-5801
Mailing Address - Fax:515-294-5457
Practice Address - Street 1:ISU THIELEN STUDENT HEALTH CENTER
Practice Address - Street 2:2647 UNION DRIVE
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50011-2029
Practice Address - Country:US
Practice Address - Phone:515-294-5801
Practice Address - Fax:515-294-5457
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2019-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA02687207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0073684Medicaid
IAF12410Medicare UPIN
IA0073684Medicaid