Stickler, Thomas L

Stickler, Thomas L is an individual health care provider with primary practice located at 2483 Highway 644 Suite 107, Louisa KY 41230-9242. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Stickler, Thomas L can be contacted via phone (606) 638-7400.

Contact Information

Primary practice address
2483 Highway 644 Suite 107 Louisa KY 41230-9242
Phone: (606) 638-7400
Fax: (606) 638-0468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3006204 Kentucky

Profile Details

NPI number 1780912915
LBN Legal business name Stickler, Thomas L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2009
Last updated Apr 30th, 2012 - about 12 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 1780912915 NPPES
Kentucky MEDICAID 7100097770
Kentucky MEDICAID 3032480
Kentucky MEDICAID 3810016489

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