National Provider Identifier Database

BRENDA K STICKLEY
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

BRENDA K STICKLEY
610 E CHESTNUT ST
WAUSEON, OH43567-1463
Phone: 419-357-9292
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for BRENDA K STICKLEY

NPI Number 1114520046
Credentials
Entity Individual
Enumeration date 11/22/2020
Last updated 11/22/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • OH License #: 2695463
  • OH Medicaid: 0180383
  • OH Medicaid: 2695463
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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