Provider / Organization | NPI | Date Certified |
---|---|---|
DAVID EWALT STICHLER | 1386215036 | 2021-07-16 |
David Ewalt Stichler is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1386215036. Registration indicates David Ewalt Stichler is a provider of services with a specialization in Dietary & Nutritional Service Providers, Dietary Manager (Dietary Manager, ) (Dietary Manager, Dietary & Nutritional Service Providers)
Entity Type | Individual |
Provider Name | David Ewalt Stichler |
Practice Office Address | 396 ARCHIE ST EUGENE, OR US |
Practice Office Telephone | 5416066057 |
Mailing Address | 3585 KINSROW AVE APT 102 EUGENE, OR 974017076 US |
Business Telephone | 5416066057 |
Code | Practice | License No State |
---|---|---|
132700000X PRIMARY | Dietary & Nutritional Service Providers Dietary Manager Dietary Manager Dietary Manager Dietary & Nutritional Service Providers |