Provider Demographics
NPI:1285601955
Name:STICKELL, JULIA ANN (DC)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:ANN
Last Name:STICKELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 CORNWALL TER
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-2811
Mailing Address - Country:US
Mailing Address - Phone:757-633-0192
Mailing Address - Fax:
Practice Address - Street 1:33 CORNWALL TER
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-2811
Practice Address - Country:US
Practice Address - Phone:757-633-0192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-02
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556116111NN1001X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA187743OtherANTHEM ID
VA187743OtherANTHEM ID