Licking Memorial Professional Corporation in Newark - Family Medicine
Licking Memorial Professional Corporation - NPI 1336169770
Licking Memorial Professional Corporation is a Family Medicine in Newark, Ohio. Licking Memorial Professional Corporation practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Licking Memorial Professional Corporation is 1336169770. The last update date is 2020-08-22.
Licking Memorial Professional Corporation's current location address is 1272 W Main St, Newark, Ohio. You can contact this provider via phone number 7403481702 and fax number 7403481703. The mailing address for Licking Memorial Professional Corporation is 1272 W Main St, Newark, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Licking Memorial Professional Corporation |
|---|---|
| Address | 1272 W Main St, Newark, Ohio |
| Phone Number | 7403481702 |
| Fax Number | 7403481703 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Montagnese A. Robert |
| Telephone Number | 7403484000 |
NPI Number Detail
| NPI Number | 1336169770 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1272 W Main St |
|---|---|
| City | Newark |
| State | Ohio (OH) |
| Post Code | 430552004 |
| Phone Number | 7403481702 |
| Fax Number | 7403481703 |
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2140169 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Licking Memorial Professional Corporation by the Centers for Medicare & Medicaid Services?
The Licking Memorial Professional Corporation has been issued the NPI (National Provider Identifier) 1336169770, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Licking Memorial Professional Corporation is geographically located?
The Licking Memorial Professional Corporation is physically situated at the following location: 1272 W Main St, Newark, OH, 430552004.
What is the Licking Memorial Professional Corporation's specialty and taxonomy code?
The Licking Memorial Professional Corporation's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Licking Memorial Professional Corporation receive the assignment of its 1336169770 from the Centers for Medicare & Medicaid Services?
The Licking Memorial Professional Corporation was issued its 1336169770 by the Centers for Medicare & Medicaid Services on 2006-07-20.
As of what date was the information regarding Licking Memorial Professional Corporation, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Licking Memorial Professional Corporation, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.