Licking Memorial Professional Corp. in Newark - Family Medicine
Licking Memorial Professional Corp. - NPI 1013935865
Licking Memorial Professional Corp. is a Family Medicine in Newark, Ohio. Licking Memorial Professional Corp. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Licking Memorial Professional Corp. is 1013935865. The last update date is 2020-08-22.
Licking Memorial Professional Corp.'s current location address is 2181 W High St, Newark, Ohio. You can contact this provider via phone number 7403481720 and fax number 7403481726. The mailing address for Licking Memorial Professional Corp. is 2181 W High St, Newark, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Licking Memorial Professional Corp. |
|---|---|
| Address | 2181 W High St, Newark, Ohio |
| Phone Number | 7403481720 |
| Fax Number | 7403481726 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Montagnese Robert |
| Telephone Number | 7403484000 |
NPI Number Detail
| NPI Number | 1013935865 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2181 W High St |
|---|---|
| City | Newark |
| State | Ohio (OH) |
| Post Code | 430558917 |
| Phone Number | 7403481720 |
| Fax Number | 7403481726 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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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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What is the Licking Memorial Professional Corp.'s 1013935865?
The Licking Memorial Professional Corp.'s NPI (National Provider Identifier) Number is 1013935865. 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 street address where Licking Memorial Professional Corp. is physically located?
The Licking Memorial Professional Corp. is physically situated at the following address: 2181 W High St, Newark, OH, 430558917.
What is Licking Memorial Professional Corp.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Licking Memorial Professional Corp. is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013935865 to Licking Memorial Professional Corp.?
The Centers for Medicare & Medicaid Services assigned the 1013935865 to Licking Memorial Professional Corp. on 2006-07-18.
When was the information regarding Licking Memorial Professional Corp. most recently updated?
The details pertaining to the Licking Memorial Professional Corp., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.