Healthcare Provider Details

I. General information

NPI: 1366553000
Provider Name (Legal Business Name): HOWARD LEE STICH III DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 SORRENTO DR STE 1
CAMDENTON MO
65020-4768
US

IV. Provider business mailing address

71 SORRENTO DR STE 1
CAMDENTON MO
65020-4768
US

V. Phone/Fax

Practice location:
  • Phone: 573-873-9800
  • Fax:
Mailing address:
  • Phone: 573-873-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2019005953
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number24763
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number6915
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: