Licking Memorial Professional Corp in Newark - Family Medicine
Licking Memorial Professional Corp - NPI 1831381797
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 1831381797. The last update date is 2011-10-12.
Licking Memorial Professional Corp's current location address is 270 Goosepond Rd, Newark, Ohio. You can contact this provider via phone number 7403487960 and fax number 7403487961. The mailing address for Licking Memorial Professional Corp is 270 Goosepond Rd, Newark, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Licking Memorial Professional Corp |
|---|---|
| Address | 270 Goosepond Rd, Newark, Ohio |
| Phone Number | 7403487960 |
| Fax Number | 7403487961 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP OF FINA |
|---|---|
| Authorized Official Name | Webster L. Cynthia |
| Telephone Number | 7403484819 |
NPI Number Detail
| NPI Number | 1831381797 |
|---|---|
| Provider Enumeration Date | 2007-08-15 |
| Last Updated Date | 2011-10-12 |
Provider Mailing Address Detail
| Address | 270 Goosepond Rd |
|---|---|
| City | Newark |
| State | Ohio (OH) |
| Post Code | 430553104 |
| Phone Number | 7403487960 |
| Fax Number | 7403487961 |
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 unique 10-digit identification code issued to Licking Memorial Professional Corp by the Centers for Medicare & Medicaid Services?
The Licking Memorial Professional Corp has been assigned the NPI (National Provider Identifier) 1831381797 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Licking Memorial Professional Corp's physical address?
The Licking Memorial Professional Corp is physically located at 270 Goosepond Rd, in the city of Newark, OH, with the postal code 430553104.
What is Licking Memorial Professional Corp's area of expertise and its corresponding taxonomy classification?
The Licking Memorial Professional Corp's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
When did Licking Memorial Professional Corp receive its 1831381797 assignment?
The Licking Memorial Professional Corp was assigned its 1831381797 on 2007-08-15, which is the date when this unique identifier was issued to the organization.
As of what date were the Licking Memorial Professional Corp's details last updated?
The information pertaining to the Licking Memorial Professional Corp, including its address, specialty, and other details, was most recently updated on 2011-10-12.
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