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Individual
DR. TRAVIS STICKLE
Active
Individual
DR. TRAVIS STICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555954
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA3963
RAILROAD MEDICARE UPIN
VA
01
—
P00057525
RAILROAD MEDICARE PIN
VA
Enumeration date
10/26/2006
Last updated
04/11/2017
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