Stickley, Brenda K
Stickley, Brenda K is an sole proprietor health care provider with primary practice located at 610 E Chestnut St , Wauseon OH 43567-1463. She recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as her primary health care specialty. Stickley, Brenda K can be contacted via phone (419) 357-9292.Contact Information
Primary practice address
610 E Chestnut St
Wauseon OH 43567-1463
Phone: (419) 357-9292
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 2695463 | Ohio |
Profile Details
| NPI number | 1114520046 |
|---|---|
| LBN Legal business name | Stickley, Brenda K |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2020 |
| Last updated | Nov 22nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114520046 | NPPES |
| Ohio | MEDICAID | 0180383 | |
| Ohio | MEDICAID | 2695463 |
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