Stickles, Beverly J

Stickles, Beverly J is an individual health care provider with primary practice located at 721 Madison St Se , Huntsville AL 35801-4408. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Stickles, Beverly J can be contacted via phone (256) 880-6711.

Contact Information

Primary practice address
721 Madison St Se Huntsville AL 35801-4408
Fax: (256) 880-6712
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 160790 Massachusetts

Profile Details

NPI number 1679555940
LBN Legal business name Stickles, Beverly J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Mar 26th, 2008 - about 16 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 1679555940 NPPES
Massachusetts Other 2000005 UNITED HEALTHCARE
Massachusetts MEDICAID 2040590 UNITED HEALTHCARE
Massachusetts Other 613824 UNITED HEALTHCARE
Massachusetts Other 5586023 UNITED HEALTHCARE
Massachusetts Other 469828 UNITED HEALTHCARE
Massachusetts Other J27289ST UNITED HEALTHCARE
Massachusetts Other 82971 UNITED HEALTHCARE

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