Individual
JOSEPH ANTHONY STICHKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
705 Q ST, BRIDGEPORT, NE 69336-4041
(308) 279-0774
Mailing address
705 Q ST, BRIDGEPORT, NE 69336-4041
(308) 279-0774
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22373
NE
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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