Myron B Licht in Coos Bay - Cardiovascular Disease
Myron B Licht - NPI 1427131226
Myron B Licht is a Cardiovascular Disease in Coos Bay, Oregon. Myron B Licht practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Myron B Licht is 1427131226. The last update date is 2014-02-27.
Myron B Licht's current location address is 1750 Thompson Rd, Coos Bay, Oregon. You can contact this provider via phone number 5412690333. The mailing address for Myron B Licht is 1750 Thompson Rd, Coos Bay, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Myron B Licht |
|---|---|
| Address | 1750 Thompson Rd, Coos Bay, Oregon |
| Phone Number | 5412690333 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1427131226 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2014-02-27 |
Provider Mailing Address Detail
| Address | 1750 Thompson Rd |
|---|---|
| City | Coos Bay |
| State | Oregon (OR) |
| Post Code | 974202100 |
| Phone Number | 5412690333 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | DO158099 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 151994 | OR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Myron B Licht by the Centers for Medicare & Medicaid Services?
The Myron B Licht has been issued the NPI (National Provider Identifier) 1427131226. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Myron B Licht is physically located?
The Myron B Licht is situated at the following address: 1750 Thompson Rd, Coos Bay, OR 974202100.
What is the Myron B Licht's specialty and taxonomy code?
The Myron B Licht's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.
When did the Myron B Licht receive its 1427131226?
The Myron B Licht was issued its 1427131226 on 2006-10-23, which is the date when the organization was assigned this unique identifier.
When was the information related to Myron B Licht most recently updated or refreshed?
The details pertaining to the Myron B Licht, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-02-27.