Stickler, Derek Wade

Stickler, Derek Wade is an individual health care provider with primary practice located at 2447 S Prairie Ave , Pueblo CO 81005-2886. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Stickler, Derek Wade can be contacted via phone (254) 394-0836.

Contact Information

Primary practice address
2447 S Prairie Ave Pueblo CO 81005-2886
Phone: (254) 394-0836
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 6888 Colorado
Chiropractic Providers / Chiropractor 111N00000X 6888 Colorado

Profile Details

NPI number 1629326905
LBN Legal business name Stickler, Derek Wade
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2012
Last updated Apr 11th, 2018 - about 8 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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