Sticker, James Kenneth

Sticker, James Kenneth is an individual health care provider with primary practice located at 3510 N Causeway Blvd , Metairie LA 70002-3531. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Sticker, James Kenneth can be contacted via phone (504) 779-5515.

Contact Information

Primary practice address
3510 N Causeway Blvd Metairie LA 70002-3531
Phone: (504) 779-5515
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 084325 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 03641 Louisiana

Profile Details

NPI number 1225085616
LBN Legal business name Sticker, James Kenneth
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jun 20th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225085616 NPPES
Alabama MEDICAID 009912359
Alabama MEDICAID 1569721
Alabama MEDICAID 01208751

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