Individual
DR. STEVE R SICKBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
620 E 11TH ST, RUSHVILLE, IN 46173-1319
(765) 932-5553
(765) 932-1813
Mailing address
620 E 11TH ST, RUSHVILLE, IN 46173-1319
(765) 932-5553
(765) 932-1813
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001939-IN
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100215980A
—
IN
Enumeration date
05/25/2006
Last updated
04/04/2022
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