Provider Demographics
NPI:1922219005
Name:STICHTER, BARBARA (RDHL, BS)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:STICHTER
Suffix:
Gender:F
Credentials:RDHL, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 N. ERIE ST
Mailing Address - Street 2:ATTN BILLING, RM 272
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604
Mailing Address - Country:US
Mailing Address - Phone:419-213-4049
Mailing Address - Fax:419-213-4017
Practice Address - Street 1:635 N. ERIE ST
Practice Address - Street 2:ATTN BILLING, RM 272
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604
Practice Address - Country:US
Practice Address - Phone:419-213-4049
Practice Address - Fax:419-213-4017
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH31-00-5695124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist