Stickley, Jamie M.

Stickley, Jamie M. is an individual health care provider with primary practice located at 100 Navarre Pl Ste 4460 , South Bend IN 46601-1168. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Stickley, Jamie M. can be contacted via phone (574) 235-1010.

Contact Information

Primary practice address
100 Navarre Pl Ste 4460 South Bend IN 46601-1168
Phone: (574) 235-1010
Fax: (574) 232-2064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002348A Indiana

Profile Details

NPI number 1396773453
LBN Legal business name Stickley, Jamie M.
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jan 18th, 2022 - about 4 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 1396773453 NPPES
Indiana Other 261970156 MEDICARE PTAN
Indiana MEDICAID 200980700 MEDICARE PTAN

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