Stickler, Michael A

Stickler, Michael A is an individual health care provider with primary practice located at 2420 Jenks Ave Suite C 1, Panama City FL 32405-4909. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Stickler, Michael A can be contacted via phone (850) 233-3376.

Contact Information

Primary practice address
2420 Jenks Ave Suite C 1 Panama City FL 32405-4909
Phone: (850) 233-3376
Fax: (850) 522-8354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME 88808 Florida

Profile Details

NPI number 1962456723
LBN Legal business name Stickler, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Oct 19th, 2011 - about 15 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 1962456723 NPPES
Florida Other 42005 BLUE CROSS BLUE SHIELD
Florida MEDICAID H8E33D3D BLUE CROSS BLUE SHIELD

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