Individual
DR. BEVERLY J STICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
721 MADISON ST SE, HUNTSVILLE, AL 35801-4408
(256) 880-6711
(256) 880-6712
Mailing address
PO BOX 288, HUNTSVILLE, AL 35804-0288
(256) 880-6711
(256) 880-6712
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
160790
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000005
UNITED HEALTHCARE
MA
05
—
2040590
—
MA
01
—
469828
TUFTS HEALTHCARE
MA
01
—
5586023
AETNA
MA
01
—
613824
HARVARD PILGRIM HEALTHCAR
MA
01
—
82971
AETNA US HEALTHCARE
MA
01
—
J27289ST
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/14/2005
Last updated
03/26/2008
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