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Brenda K Stickley
Preferred Provider Organization in Wauseon, Ohio
NPI 1114520046

Brenda K Stickley is a Preferred Provider Organization based in Wauseon, OH. Brenda K Stickley practices in Wauseon, OH. The NPI Number for Brenda K Stickley is 1114520046 and holds a License No. 2695463 (Ohio).

The current practice location address for Brenda K Stickley is 610 E Chestnut St, Wauseon, OH and can be reached out via phone at 419-357-9292.

Location: 610 E Chestnut St, Wauseon, OH, 43567-1463
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114520046
Provider Name
Brenda K Stickley
Credential
Provider Entity Type
Individual
Gender
Female
Address
610 E Chestnut St, Wauseon, OH, 43567-1463
Phone Number
419-357-9292
Fax Number
Provider Enumeration Date
11/22/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0180383 05 OH
2695463 05 OH
institution
Provider Business Practice Location Address Details
Address
610 E Chestnut St
City
Wauseon
State
Ohio
Zip
43567-1463
Phone Number
419-357-9292
Fax Number
person
Provider Business Mailing Address Details
Address
610 E Chestnut St
City
Wauseon
State
Ohio
Zip
43567-1463
Phone Number
419-357-9292
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
2695463 (Ohio)
Definition
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.
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