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NPI Code Detail

MEDICARE: ERIC STICKLES

MEDICARE: ERIC STICKLES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramOH

General Provider Information

NPI Number : 1851231849
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC STICKLES
Provider Business Mailing Address
First Line : 3188 BELLEVUE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2369
Country : US
Telephone Number : 513-584-4505
Fax Number :
Provider Business Practice Location Address
First Line : 3188 BELLEVUE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2369
Country : US
Telephone Number : 513-584-4505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 03/30/2026

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Directions to “ ERIC STICKLES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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