Ruth Marie Licht in Birch Run - Family Medicine
Ruth Marie Licht - NPI 1811997463
Ruth Marie Licht is a Family Medicine in Birch Run, Michigan. Ruth Marie Licht practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ruth Marie Licht is 1811997463. The last update date is 2021-04-06.
Ruth Marie Licht's current location address is 9900 Birch Run Rd, Birch Run, Michigan. You can contact this provider via phone number 9896241500 and fax number 9896241506. The mailing address for Ruth Marie Licht is 9900 Birch Run Rd, Birch Run, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ruth Marie Licht |
|---|---|
| Address | 9900 Birch Run Rd, Birch Run, Michigan |
| Phone Number | 9896241500 |
| Fax Number | 9896241506 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1811997463 |
|---|---|
| Provider Enumeration Date | 2005-07-26 |
| Last Updated Date | 2021-04-06 |
Provider Mailing Address Detail
| Address | 9900 Birch Run Rd |
|---|---|
| City | Birch Run |
| State | Michigan (MI) |
| Post Code | 484159609 |
| Phone Number | 9896241500 |
| Fax Number | 9896241506 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 10453 |
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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 |
|---|---|---|---|
| 4506206 | MI | -- | |
| OG31024 | MI | BCN | |
| 0G310240 | MI | BCBS | |
| 80110138 | MI | RR MEDICARE | |
| 150900525 | MA | HEALTHPLUS | |
| 4219244 | MH | AETNA |
Post Comment/ Review Below
What is the Ruth Marie Licht's unique identification number?
The Ruth Marie Licht has been assigned the NPI (National Provider Identifier) Number 1811997463 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Ruth Marie Licht's physical address?
The Ruth Marie Licht is physically located at 9900 Birch Run Rd, in the city of Birch Run, MI, with the postal code 484159609.
What is Ruth Marie Licht's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ruth Marie Licht's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Ruth Marie Licht receive its 1811997463 assignment from the Centers for Medicare & Medicaid Services?
The Ruth Marie Licht was assigned its 1811997463 by the Centers for Medicare & Medicaid Services on 2005-07-26.
When was the information regarding Ruth Marie Licht most recently updated?
The details pertaining to the Ruth Marie Licht, including its address, specialty, and other relevant information, were last refreshed on 2021-04-06.
NPI Number: 1184622524
Address: 1230 S Cedar Crest Blvd Ste 306, Allentown, PA