Stickler, Rebecca
Stickler, Rebecca is an sole proprietor health care provider with primary practice located at 4033 Talbot Rd S Ste 530 , Renton WA 98055-5700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Stickler, Rebecca can be contacted via phone (425) 228-6076.Contact Information
Primary practice address
4033 Talbot Rd S Ste 530
Renton WA 98055-5700
Phone: (425) 228-6076
Fax: (425) 226-5224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G79112 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD 18482 | Hawaii |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD 60404605 | Washington |
Profile Details
| NPI number | 1104936020 |
|---|---|
| LBN Legal business name | Stickler, Rebecca |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1104936020 | NPPES |
| California | MEDICAID | 00G791120 | |
| California | MEDICAID | 2032479 |
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