Stickler, Daniel L

Stickler, Daniel L is an sole proprietor health care provider with primary practice located at 1516 Kanawha Blvd E , Charleston WV 25311-2413. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Stickler, Daniel L can be contacted via phone (304) 347-4313.

Contact Information

Primary practice address
1516 Kanawha Blvd E Charleston WV 25311-2413
Phone: (304) 347-4313
Fax: (304) 347-4316
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2011-01840 North Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 19806 West Virginia

Profile Details

NPI number 1346295698
LBN Legal business name Stickler, Daniel L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Feb 9th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346295698 NPPES
West Virginia MEDICAID 7300018000

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