Nurit Licht is a Family Medicine in Petaluma, California. Nurit Licht practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Nurit Licht is 1477545176. The last update date is 2019-09-20.
Nurit Licht's current location address is 1179 N Mcdowell Blvd, Petaluma, California. You can contact this provider via phone number 7075597500 and fax number 7075597620. The mailing address for Nurit Licht is 1179 N Mcdowell Blvd, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nurit Licht |
|---|---|
| Address | 1179 N Mcdowell Blvd, Petaluma, California |
| Phone Number | 7075597500 |
| Fax Number | 7075597620 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477545176 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2019-09-20 |
Provider Mailing Address Detail
| Address | 1179 N Mcdowell Blvd |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949546559 |
| Phone Number | 7075597500 |
| Fax Number | 7075597620 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A90977 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ18742Z | CA | ISSUER MEDICARE | |
| A90977 | CA | LICENSE NUMBER | |
| FHC70696F | CA | -- | |
| 1477545176 | CA | -- | |
| HAP70696F | CA | -- | |
| BCP70696F | CA | -- |
Post Comment/ Review Below
What is the Nurit Licht's 1477545176?
The Nurit Licht's NPI (National Provider Identifier) Number is 1477545176. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Nurit Licht?
The Nurit Licht is physically situated at 1179 N Mcdowell Blvd, in the city of Petaluma, state of CA, with the postal code 949546559.
What is the Nurit Licht's area of specialization and corresponding taxonomy classification?
The Nurit Licht's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When was the Nurit Licht's 1477545176 issued?
The Nurit Licht's 1477545176 was issued on 2005-08-18.
When was the Nurit Licht's information last updated?
The Nurit Licht's information was last updated on 2019-09-20.