Provider Demographics
NPI:1184098998
Name:STICK WITH IT, LLC
Entity type:Organization
Organization Name:STICK WITH IT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOMENIC
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:410-905-8332
Mailing Address - Street 1:1206 YORK RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6217
Mailing Address - Country:US
Mailing Address - Phone:410-296-5160
Mailing Address - Fax:
Practice Address - Street 1:1206 YORK RD
Practice Address - Street 2:SUITE 202
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6217
Practice Address - Country:US
Practice Address - Phone:410-296-5160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01116171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty